At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

At Aetna, we are committed to helping our members achieve their best health in an affordable, convenient and comprehensive manner. Group Retiree Solutions (GRS) is a core component of the Aetna Medicare Organization. Our vision is to develop an industry-leading group retiree health care business by delivering unrivaled value to our plan sponsors and members alike. We aspire to provide personalized, member-centric care that treats retirees like human beings during a sensitive chapter in their lives. We work as a strategic partner that is uniquely committed to helping our clients reach their benefit goals. Imagination, innovation, accountability and teamwork, with an emphasis on structure and process, drive us to deliver unparalleled results.

We are seeking a Senior Manager, Business Consultant to join our newly formed Performance Optimization team. The Senior Manager is responsible for leading and supporting multiple, large-scale projects including coordination, planning, development, implementation and financial impact analysis. Other essential components of this role include accountability for establishing and managing cross-functional implementation workgroups, anticipating business and resource needs, setting priorities, establishing accountabilities, identifying and assessing risks and issues, adhering to timelines as well as executing and ensuring documentation is clear and concise. The ideal candidate will be able to work independently to identify requirements, research and resolve barriers to progress and influence team members to work with urgency.

In this role, you'll make an impact by:

• Acting as a subject matter expert for GRS, utilizing functional and working knowledge of business priorities to deliver on expected results

• Serving in an agile and highly collaborative manner in order to drive change that results in improved organizational performance results and effectiveness

• Recommending appropriate actions, strategies and / or alternative courses of action to meet business needs

• Generating ideas while working cross-functionally to bring innovative solutions and initiatives to the forefront

• Overseeing cross-functional project / tactical plan creation, execution and creating alignment / synergy

• Developing actionable insights derived from project management tools, data analysis and stakeholder feedback to drive improvement opportunities

• Leading initiatives to establish and maintain a comprehensive understanding of internal and external influences and competitive pressures to develop and enhance opportunities

• Identifying and elevating gaps / risks in processes, solutions, initiatives, etc. to challenge and guide others to develop and implement enhancements

• Mobilizing cross-functional support required to achieve business objectives, including areas of tactical and strategic support

• Consolidating information from various sources, synthesizing project data and insights to provide comprehensive reports, presentations and updates to stakeholders

• Ensuring the end-state of assigned projects and initiatives meet desired business objectives and that all stakeholder deliverables and due dates are met

• Working across the business to inform, solicit input and implement solutions

• Understanding and socializing the impact of decisions on the execution of strategic priorities

• Translating strategies, data, analytics and other forms of business intelligence into meaningful and clear messages and actions

• Acting as a direct extension of the GRS Account Management team by engaging with and presenting to plan sponsors as needed

Key responsibilities:

• Assist with improving and transforming Group Medicare business performance through various operations, process development and transformation as well as project management

• Enable the ability to identify, navigate and implement solutions to drive improved business performance and efficiency

• Act as a top-level specialist on program and initiative planning by developing comprehensive program plans that encompass objectives, deliverables, timelines, owners, etc.

• Allocate accountability by assigning clear responsibilities and expectations to team members to ensure accurate and timely execution

• Coordinate working sessions and collaborate with multiple departments

• Foster cross-functional collaboration and coordination to achieve set goals and objectives

• Conduct evaluations and assessments, monitor progress, identify risks and issues along with taking corrective actions to keep initiatives on track

• Facilitate knowledge sharing among working teams, consolidate information from various sources, synthesize data and insights to provide comprehensive reports, presentations and updates to internal and external stakeholders

• Create reports and presentations to support working sessions and ongoing reviews

• Establish deep working relationships with business partners at all levels

• Plan, execute and oversee special projects as assigned

Required Qualifications

• 7+ years' experience in strategy, financial analysis, healthcare analytics, project / program management and delivery; preferably within the healthcare or insurance industry

• Working knowledge of the following business areas: clinical, network, revenue integrity

• Experience producing results by working within established timeframes, deadlines and understanding next steps

• Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills

• Proven ability to influence and collaborate with business partners at all levels

• Experience presenting to audiences at all levels in an open and transparent way that quickly builds trust and respect

• Highly motivated self-starter with a growth mindset

• Confidence and courage to work independently, execute priorities, identify and initiate improvements without requiring step-by-step direction

Preferred Qualifications

• Proficient Medicare background

• Internal and / or external healthcare consulting background

• Experience working with large sets of data and / or information

• PMP certification

Education

• Bachelor's Degree required

• Advanced Degree preferred

Pay Range

The typical pay range for this role is:

$75,400.00 - $182,549.40

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. 
 

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.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 04/06/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.