A Brief OverviewDevelops and manages detailed implementation plans to execute integrated DSNP benefit designs flawlessly in collaboration with cross-functional business partners. Creates and manages cross-functional project plan development and execution with a thorough understanding of the technical aspects and details of administration and ongoing maintenance of the integrated DSNP product.
What you will do- Establishes processes creating and managing cross-functional project plan development, implementation, execution, and ongoing maintenance of vendor benefits supporting our integrated DSNP offering.
- Communicates team direction for solving customer needs, creating robust high-level business requirements, and delivering on product vision and strategy, taking into account system dynamics, and business implications, to produce optimal outcomes.
- Elevates project risks, communicating anticipated roadblocks or potential delays, subsequently recommending alternative solutions and associated team responsibilities in a timely manner that allows for minimization of potential project delays or unanticipated costs.
- Reviews State Medicaid Agency Contracts (SMACs) for impacts and develops an implementation plan to execute those contracts maintaining alignment with all state requirements.
- Monitors for and reacts to state regulatory changes impacting integrated DSNP benefit offerings throughout the plan year.
Job Requirements:- 5+ years of experience in healthcare, primarily in Medicare Advantage, in any areas such as: product strategy, implementation, or operations with familiarity of Part C coverage and benefits
- 3+ years of experience working with Special Needs Plans (SNP) benefits and cost sharing setup - specifically integrated special needs plans.
- 3+ years cross-functional project management experience ensuring deliverables are completed within timelines and issues/risks are escalated and resolved/mitigated appropriately
- Strong written and verbal communication skills, with the ability to explain complex information clearly and concisely to all levels within the organization
- Proficient with navigating Microsoft Office products (Excel, Word, and Outlook) and other computer-based applications/programs
- Highly organized and detail oriented along with having strong time management, prioritization, and problem-solving skills
Preferred:Mastery of project management (PMP certification a plus)
Education- Bachelor's degree preferred/specialized training/relevant professional qualification.
Pay RangeThe typical pay range for this role is:
$82,940.00 - $182,549.00
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. This position also includes an award target in the company's equity award program.
Great benefits for great peopleWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 07/18/2026
