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Sr Mgr – Medicare Performance Management
| Company | CVS Health |
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| Location | Hartford, CT, USA |
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| Salary | $82940 – $182549 |
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| Type | Full-Time |
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| Degrees | |
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| Experience Level | Mid Level, Senior |
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Requirements
- Basic knowledge of Individual and Group Medicare.
- Proficiency in Statistical Analysis System (SAS) and Structured Query Language (SQL) or similar programming experience.
- 3 or more years of experience with Medicare, with an emphasis in Medicare operations, performance management, strategy, bid planning, and/or data analysis.
- Strong business acumen.
- Strong organizational/time management skills.
- Effective communication skills with ability to clearly articulate information to a wide range of audiences, including senior leadership.
- Excellent problem-solving capabilities, taking a proactive approach to identifying potential areas of improvement.
- Proven experience working effectively on projects and initiatives with cross-functional teams involving a variety of stakeholders.
- Quality review experience with a commitment to ensuring accuracy and compliance.
- Ability to prioritize and handle multiple work tasks on an ongoing basis.
- Positive presence with an ability to inspire others.
- Collaboration and relationship management skills, with the capacity to quickly build and maintain credible relationships at varying levels of the organization.
- Occasional travel may be required.
Responsibilities
- Support the Lead Director and AVP via data pulling, data processing, conceptual model design, initiative planning, product management, performance management, and monitoring of member experience.
- Involved in the annual bid process and support high value initiatives of variable scale and complexity.
- Identify opportunities for improvement, influence change through negotiation, consultation, and other actions that lead to improved performance.
- Provide guidance and collaborate with external and internal partners in support of initiatives.
- Support coaching and assist in the development of matrixed staff by providing direction, oversight, and feedback on work assignments.
- May be responsible for concurrent initiatives as a team lead and/or team member, based on resource requirements.
Preferred Qualifications
- 5 or more years of experience with Medicare, with an emphasis in Medicare operations, performance management, strategy, bid planning, and/or data analysis.
- Actuarial background
