Sr. Manager: Med D Stars Navigator

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
Designs cross-functional solutions to address client-specific challenges related to Star Ratings performance . This work results in initiatives that significantly impact organizational strategy, enabling the organization to be competitive in the marketplace and effectively serve its customers. Partners with business owners to optimize the achievement of strategic objectives, to include improved Star Ratings performance and improved organizational effectiveness.Designs client specific and/or cross-functional solutions to address challenges related to Star Ratings performance. This work results in initiatives that significantly impact organizational strategy, enabling the organization to be competitive in the marketplace and effectively serve its customers. Partners with business owners to optimize the achievement of strategic objectives, to include improved Star Ratings and improved organizational effectiveness.What you will do

• Directs development of the organization's client-specific government programs action plan to ensure compliance with Star Ratings program.
• Advises organizational teams to develop and execute government program procedures and processes to ensure efficient and effective delivery of services.
• Leads the development of Star Rating initiatives, develops strategies, presents recommendations, and implements solutions to improve overall client-level performance.
• Collaborates with regional and local account management and sales teams on Star ratings strategies based on clinical intervention services.
• Provides support in the resolution of complex Star rating issues and requests, as well as continuously assessing program needs to expand existing opportunities.
• Drives the success of projects in collaboration with senior management, stakeholders, and senior individual contributors.
• Attends ongoing professional development courses staying up-to-date with industry regulations and best practices to ensure the organization's compliance with security regulations in the government program sector.
• Evaluates performance through regular, timely feedback to ensure delivery of exceptional services and engagement, motivation, and team development.

Required Qualifications:

• 7+ years experience in 7+ years of experience in Medicare/Stars or Healthcare/Pharmacy Quality, Program Management, or Strategy

Preferred Qualifications:

• Health plan experience
• Familiarity with CMS measurement methodologies and regulatory updates
• Adept at problem solving and decision making skills
• Adept at collaboration and teamwork
• Adept at growth mindset (agility and developing yourself and others) skills
• Adept at execution and delivery (planning, delivering, and supporting) skills
• Adept at business intelligence

Educational Requirements:

• Bachelors degree or relevant professional experience required

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 peopleWe 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/benefitsWe anticipate the application window for this opening will close on: 12/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Rolla, MO

Job ID: CVS-R0683901_1008

Employment Type: FULL_TIME

Posted: 2025-11-15T19:25:48