Senior Analyst, Medical Policy - Hartford, CT

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

A Sr. Analyst, Project Management (IC) role, reporting to the AVP of Medical and Pre-Payment Policy combines high-level project management with detailed administrative and operational tasks. This dual function is crucial for ensuring the smooth operation and strategic execution of medical policy initiatives, including developing, implementing, and enforcing payment and policy rules for healthcare services.

• Lead and manage key strategic projects related to implementation of new regulatory rules, new large-payment programs and/or scoreable action items from conception to implementation.
• Conducts routine collaboration with stakeholders to define project objectives, requirements, and deliverables, ensuring alignment with business goals.
• Drafts correspondence, presentations, and reports, ensuring all messaging is consistent and aligned with the overall strategy supporting the Medical Pre-Payment Policy Solutions (MPPS).
• Use a centralized platform to track policy initiatives, monitor progress, and provide regular reports to the AVP and other executives on key performance indicators and outcome.
• Plan and facilitate meetings, including creating agendas, preparing presentation materials, documenting meeting minutes, and tracking action items.
• Serve as the primary point of contact and liaison between the AVP and key internal and external stakeholders, including clinical teams, legal and compliance departments, and external partners.
• Manage the AVP's complex calendar, including scheduling meetings, coordinating travel, and prioritizing appointments to optimize their time and focus.
• Takes ownership of special projects or ad-hoc assignments that fall outside the purview of existing teams, ensuring they are completed on time and within budget.
• Conducts project post-mortems to capture and apply lessons learned to identify areas for improvement and shares process enhancements to optimize project management practices.
• Prepares and delivers project progress reports highlighting achievements, risks, and mitigation strategies.
• Administers leadership and guidance to project teams, fostering a culture of teamwork, accountability, and high performance.

Required Qualifications

• 5+ years of progressive experience in health plan clinical operations with a focus on medical and pre-payment policies.
• Familiarity with medical terminology, healthcare policy, and governance is essential. An understanding of the Centers for Medicare & Medicaid Services (CMS) or other regulatory bodies is a significant asset.
• Exceptional organizational, communication, and time-management skills are critical. The ability to handle confidential information with discretion is paramount.
• High-level proficiency in productivity software such as Microsoft Office Suite (Word, Excel, PowerPoint) and other document management systems is necessary.
• Commitment to fostering diversity, equity, inclusion, and a culture of continuous improvement.

Preferred Qualifications

• Prefer candidates who live in the Eastern Time Zone.

Education Bachelor's degree in business administration or a related field is typically required and/or equivalent experience

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $112,200.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Gr