Senior Manager, Medicare NCOD Operations

CVS Health Corporation; Scottsdale (AZ); On-site; USD 75,000 - 183,000; Full time

Job summary

CVS Health Corporation is seeking a Senior Manager, Medicare Product Operations (NCOD) to lead a team responsible for organization determinations, ensuring accurate, timely and compliant member decisions under CMS regulations.

The role focuses on strategic leadership, operational governance, workforce development, and cross-functional collaboration with Compliance, Appeals, Eligibility and Technology to deliver a best-in-class member experience.

Qualifications

• Bachelor’s Degree or equivalent experience.

Responsibilities

• Oversees end-to-end NCOD operations, including intake, review, determination, documentation and communication.
• Ensures compliance with established turnaround times, and regulatory requirements.
• Monitors workload distribution, staffing needs, productivity trends, and inventory management.
• Leads operational readiness planning for benefit, process, policy, and technology changes.

Job description

CVS Health Corporation is seeking a Senior Manager, Medicare Product Operations (NCOD) to lead a team responsible for organization determinations, ensuring accurate, timely and compliant member decisions under CMS regulations.

The role focuses on strategic leadership, operational governance, workforce development, and cross-functional collaboration with Compliance, Appeals, Eligibility and Technology to deliver a best-in-class member experience.