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

• Leads the work and deliverables of multiple, complex projects or programs, through to implementation, that impact multiple processes, systems, functions and products. Length of project may run multiple years in duration.
• Coordinates with operational leads across enterprise departments, and other matrix partners to drive business performance and objectives.
• Manages work plans, running projects, coordinating larger review meetings and ensuring areas are completing projects timely.
• Works across business units as needed (Medicaid and Medicare service operations). Develops and implements strategic business plan to achieve business goals.
• Proactively leads a program and/or most complex projects by setting 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.
• Manages projects within the Duals Markets team across the country collaborating with DSNP markets.
• Assumes an operational role with managing several critical business objectives that require engagement with shared services partners

Required Qualifications

• 5+ years working knowledge of Medicare and/or Medicaid programs
• 5+ years operational background within a health plan environment
• 5+ years project management and coordination skills across a matrix environment

Preferred Qualifications

• Knowledge of duals and DSNP products
• Project management experience
• Working in a matrix environment
• Solid communication skills both written and verbal
• Experience with benefit configuration setup in healthcare claims or enrollment systems (e.g., QNXT, HealthRules)
• Working knowledge of CPT/HCPCS coding and its application in benefit design and claims adjudication

Education

Bachelor’s degree required, or equivalent combination of education and relevant experience.

Pay Range

The typical pay range for this role is:

$67,900.00 - $199,144.00

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. 
 

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: 11/30/2025

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