MGR, Business Consultant

Posted:
8/18/2024, 5:00:00 PM

Location(s):
Redlands, California, United States ⋅ California, United States

Experience Level(s):
Mid Level ⋅ Senior

Field(s):
Business & Strategy ⋅ Consulting

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.

Position Summary

This is a Scrum Team role that will be a member of the Medicare / Medicaid Transformers team tasked with developing purpose built capabilities for our NextGen platform to support the integration with other applications in the Nextgen platform.

 

Fundamental Job Components

  •  Deliver data analysis, and data configuration Stories within an Agile framework.
  • Serves as a member of the team to deliver purpose built configuration for the Medicare and IFP pharmacy business team.
  • Independently leads the configuration of various business requirements to support the Next Generation Platform Program for the Medicare organization, including products for Medicare Advantage (MA), Medicare Advantage with Prescription Drug Coverage (MAPD) and stand-alone Prescription Drug Plans (PDP) and potentially Medicaid.
  • Complete data analysis for member data to identify and resolve data issues.
  • With limited direction, translates business requirements into user case stories.
  • Performs ongoing system maintenance, research, problem resolution and on-call support, according to defined plans or documentation for existing systems.
  • Use the prescribed methodology and be in strict compliance with all required artifacts.
  • Independently completes Unit Testing


Required Qualifications

  • 2 to 4 years  PLSQL / Oracle databases; Intermediate experience
  • Experience with Market Prominence, MHK's (formerly MedHOK) Enrollment, Billing and Correspondence platform


Education

  • Bachelor’s degree or equivalent work experience


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. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 08/26/2024

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