Sr. Manager, Program Manager (Medicare)

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

Senior Program Manager for Resources for Living is a high impact role, and we are in search for professional to lead programs, projects and initiatives within Medicare business unit, and particularly those related to Medicare Star Ratings, quality improvement, and compliance. The Senior Program Manager will perform varied activities and moderately complex administrative, operational, member and/or project management, with responsibilities including developing and managing strategies and collaborating with cross functional teams. They will be responsible for ensuring that all. Work assignments involve moderately complex to complex issues where the market research of situations or data requires an in-depth evaluation of variable factors.

Primary Responsibilities:
• Program management: Develops, implements, and follows established guidelines/procedures for implemented programs.
• Monitor open commitments and lead follow up with managing risk for resolutions, partner with Stars quality leads and assist Resource for living team with data requests & analysis
• Primary contact between Medicare business units and internal business partners
• Provide expert advice, analytic and consultative support to business to improve quality of services provided( set of KPIs, metrics, specification, processes, and policies used for escalations)
• Efficiently manage cross functional relationships, business needs and reports performance issues to quality and leadership
• Shares program management best practices with the organization, informally or through structured knowledge sharing.
• Leads or participates in continuous improvement initiatives.

Required Qualifications

• 5+ years' experience collaborating with vendor or project management using industry-standard project management tools
• 5+ years' experience managing diverse assignments and multiple priorities at the same time
• 5+ years directly managing large, high visibility, complex enterprise-level programs/projects are required.

Preferred Qualifications

• 5 or more years in Medicare Supplemental filed benefits or Health plan operations
• Knowledge of CMS requirements for Complaints, Grievance and Appeals timelines.
• Prior experience in healthcare project management in Medicare Advantage Supplemental benefits
• Experience with Microsoft Office applications including Word, Excel, PowerPoint and project management and/or consulting experience
• Track record of implementing positive improvements and execution
• Strong verbal and written communication skills
• Strong attention to detail and organizational skills
• Initiative-taking self-starter and problem solving passion with minimal guidance
• Must be enthusiastic about contributing to an organization focused on continuously improving healthcare experiences

Education

• Bachelor's Degree, preferably in healthcare or other business-related discipline

Pay Range

The typical pay range for this role is:$82,940.00 - $182,549.00

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: 10/10/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Watertown, CT

Job ID: CVS-R0721123

Employment Type: OTHER

Posted: 2025-10-01T19:48:54