Senior Manager, Product Mgt & Development - Medicare Advantage

CVS Health; Raleigh (NC); On-site; USD 67,000 - 200,000; Full time

Job summary

A leading healthcare solutions provider is looking for a Senior Manager to lead the strategy and development of integrated products for Medicare Advantage populations. The ideal candidate should have 7+ years of relevant experience and a Bachelor's degree. Responsibilities include managing key stakeholder relationships and ensuring regulatory compliance. Competitive salary and great benefits offered.

Benefits

401(k) Plan including matching contributions

Employee stock purchase plan

Flexible work schedules

Tuition assistance

Qualifications

• 7+ years of experience with Medicare Advantage, DSNP, HIDE and FIDE plans.
• Knowledge of integrated delivery systems.

Responsibilities

• Leads strategy, design, development, and lifecycle management of integrated products.
• Cultivates and manages relationships with key stakeholders.
• Ensures product benefits comply with regulatory requirements.

Skills

Experience with Medicare Advantage

Strategic thinking

Knowledge of managed care

Education

Bachelor's degree or equivalent experience

Job description

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 strategy, design, development and lifecycle management of Aetna's integrated products (HIDE / FIDE) that serve Medicare Advantage populations, including Dual-Eligible Special Needs Plans (D-SNP). This role is responsible for aligning product offerings with CMS regulations, market trends and value-based care objectives. Working cross-functionally with Duals Center of Excellence, clinical, compliance, analytics and network teams, the Senior Manager drives innovation and operational excellence to optimize member experience, reduce costs, and ensure regulatory compliance and competitive positioning.

• Cultivate and manage relationships with key stakeholders independently or in collaboration with leadership
• Leverage market knowledge and environmental insights to address strategic priorities and ensure competitive positioning
• Ensure product benefits comply with regulatory requirements
• Ensure milestone tracking across functional and market segments
• Direct product enhancements

Required Qualifications

7+ years of experience with Medicare Advantage, DSNP, HIDE and FIDE plans.

Preferred Qualifications

• Strategic thinker with knowledge of managed care, value-based models and integrated delivery systems
• Education Bachelor's degree or equivalent experience.

Pay Range

$67,900.00 - $199,144.00

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.

Great benefits for great people

• 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 : 09 / 17 / 2025

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

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex / gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.