Manager, Medicare Business Consulting

Posted:
3/3/2026, 1:47:09 AM

Location(s):
Hartford, Connecticut, United States ⋅ Connecticut, United States

Experience Level(s):
Mid Level ⋅ Senior

Field(s):
Business & Strategy ⋅ Consulting

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

We are looking for a motivated Manager, Medicare Business Consulting to join our Sales Enablement team. This role is ideal for someone with knowledge of the Medicare space; a genuine interest in technology and wants to grow into a well-rounded Business Analyst. You will work closely with business stakeholders to gather and document requirements, create Business Requirements Documents (BRDs), and collaborate with the IT team to detail and prioritize work based on effort and business needs. This is a cross-functional role that involves coordinating with departments such as Sales, Operations, Compliance, Marketing, and Technology  as well as providing great exposure and learning opportunities across the organization.

Key Responsibilities:

Business Requirements & Documentation

  • Work with business stakeholders across departments to gather, clarify, and document business requirements.
  • Create Business Requirements Documents (BRDs) that capture functional and regulatory needs in a clear, organized format.
  • Maintain a requirements repository to track and manage documented requirements.
  • Participate in stakeholder meetings, interviews, and workshops to understand business needs.
  • Create supporting artifacts such as process flow diagrams, user stories, and basic wireframes under guidance from senior team members.


IT Collaboration & Requirement Detailing

  • Collaborate with the IT / Engineering team to translate business requirements into detailed functional specifications.
  • Attend Actively participate in solution design discussions to understand technical approaches and ensure alignment with business intent.
  • Define acceptance criteria and creating basic test scenarios to validate delivered solutions.
  • Support requirement walkthrough sessions with both business and technology teams.
  • Serve as a point of contact between business users and IT for assigned projects and workstreams.


Prioritization & Backlog Support

  • Work with your manager and business leadership to prioritize requirements based on business value and implementation effort.
  • Maintain a prioritized requirements backlog and support the use of simple prioritization techniques (e.g., high/medium/low, value-vs-effort matrix).
  •   Prepare effort-impact summaries and status updates for leadership review.
  • Participate in sprint planning and backlog grooming sessions alongside the IT team.


Cross-Functional Coordination

  • Coordinate with teams across Sales, Operations, Compliance, Marketing, and IT to gather inputs and align on requirements.
  • Build positive working relationships with stakeholders across departments.
  • Track dependencies, action items, and follow-ups across cross-functional workstreams.
  • Communicate updates, meeting notes, and requirement statuses to relevant stakeholders.
  • Escalate conflicts or blockers to your manager in a timely manner.


Medicare Domain Knowledge

  • Apply foundational knowledge of Medicare (Medicare Advantage, Medicare Supplement, Part D) to understand business context and requirements.
  • Learn and develop a growing understanding of CMS regulations, compliance requirements, and industry trends relevant to the Medicare market.
  • Ensure documented requirements reflect basic compliance and regulatory considerations with guidance from senior team members and compliance stakeholders.


Required Qualifications

  • 1–3 years of experience in a Business Analyst, Business Operations, or similar analytical role.
  • 1+ year of exposure to or experience in the Medicare / health insurance space (Medicare Advantage, Medicare Supplement, Part D, or related products).
  • Knowledge of the Medicare enrollment lifecycle — including lead management, sales processes, and compliance concepts (SOA, CMS marketing guidelines).
  • Experience writing or contributing to business requirements documents, user stories, or process documentation.
  • Some exposure to working across teams or departments in a collaborative setting.
  • Familiarity with working alongside IT / Engineering teams on technology projects or enhancements.
  • Familiarity with common tools such as Jira, Confluence, Microsoft Office (Excel, Word, PowerPoint, Visio), or similar.
  • Knowledge of Agile/Scrum concepts (sprints, backlogs, user stories) 

Preferred Qualifications

  • Familiarity with SQL or Business Intelligence tools
  • Project Management experience 

Education

  • Bachelor's degree or equivalent work experience

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$66,330.00 - $145,860.00

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.

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: 03/10/2026

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

CVS Pharmacy Inc

Website: https://cvshealth.com/

Headquarter Location: Woonsocket, Rhode Island, United States

Employee Count: 10001+

Year Founded: 1963

IPO Status: Public

Last Funding Type: Post-IPO Equity

Industries: Health Care ⋅ Medical ⋅ Pharmaceutical ⋅ Retail ⋅ Sales