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Senior Program Manager, Duals Program Office

CVS Health

CVS Health is a health care innovation company. Together, we are are helping people on their path to better health.

Job Description
The Duals Program Office supports Dual Special Needs Plans (DSNP) and Medicare-Medicaid Plans (MMP) growth, expansion, strategy, clinical and administrative operations for duals products offered by Aetna. The primary goal of the Project Manager, Duals Program Office is to work with team members and lead the work and deliverables of multiple, complex projects or programs, through to implementation, that impact multiple processes, systems, functions, and products. Length of projects will vary.

Works with multiple stakeholders to develop and execute on Duals related projects and initiatives. Proactively works with teams to identify opportunities and supporting complex projects and defines strategic direction. Identifies gaps and recommends enhancements related to new and/or existing products, services and workflows based on broad view of the organization. Collaborates and partners with other functional managers, other business areas across/within segments or other business areas to ensure all workflow processes and interdependencies are identified and addressed.

Consults with constituents (these may be internal and/or external) to scope/define project. Influences change in order to improve performance results, organization effectiveness and/or systems/ quality/ services. Participates and supports processes to define and help to obtain financial support for most complex projects or supports this work as it relates to the Duals Program Office and/or functional areas that support duals products.

Collaboratively works across multiple functions and /or segments to obtain agreement from all impacted parties (e.g., up and downstream effects often impact multiple functions and/or segments). Responsible for development and implementation of new ideas that supports work/team. Cross function/segment group facilitation/presentation. Leads project and/or program management work including monitoring and tracking of progress and status update communications for assigned projects. Responsible for resource utilization within and across work teams. Responsible for the financial implications of projects and/or program budgets. Assists others to identify solutions to issues that negatively impact program and/or project plan.

Required Qualifications
5+ years of experience in Medicare Advantage operations and planning
Strong project management experience
Experience with development and management of multiple projects, project plans, and related budgets related to various projects and or program
Proven track record in meeting project milestones and negotiating across functional teams and stakeholders

COVID Requirements

COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications
Experience with and knowledge of Medicare Advantage programs, services, and eligibility at the federal and state levels including dual eligibles
Experience with Dual Special Needs Plans
8-10 years of experience related to standards & measurements, technology, systems, and processes, including project consultation

Education
BS/BA or equivalent experience and

Business Overview
Bring your heart to CVS Health
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand – with heart at its center – our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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Senior Program Manager, Duals Program Office

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CVS Health

CVS Health is a health care innovation company. Together, we are are helping people on their path to better health.

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