Sr. Manager Business Analysis - Medicare / Medicaid

4062 Aetna Resources, LLC; Oklahoma; Hybrid; USD 75,000 - 183,000; Full time

Job summary

CVS Health is seeking a Senior Manager, Strategic Programs Business Solutions Liaison to lead business-side delivery of complex, technology-enabled initiatives within Medicare. This role combines business analysis and project management to translate priorities into clear requirements, drive cross-functional execution, and ensure measurable value.

The Senior Manager acts as a primary liaison across business stakeholders, IT teams, and vendor partners, focusing on C-SNP/Condition Verification

Qualifications

• Minimum 5-8 years supporting Medicare Advantage, Special Needs Plans, Medicaid, or adjacent healthcare programs.
• Experience leading cross-functional initiatives involving business stakeholders, systems, and technology partners.
• Ability to translate business needs into structured requirements and implementation plans.

Responsibilities

• Lead the business-side delivery of complex initiatives from scoping through implementation and stabilization.
• Translate strategic priorities into actionable requirements, business process needs, delivery plans, and decision-ready recommendations.
• Serve as the primary business liaison across internal stakeholders, enterprise IT teams, and external vendor partners.
• Manage business production support for assigned initiatives, including issue triage, defect tracking, root cause analysis, and resolution follow-through.
• Monitor recurring system and process issues, identify patterns, and recommend improvements that strengthen performance, reliability, and business outcomes.
• Build and maintain business process flows, operating frameworks, and executive-ready materials that support stakeholder alignment and decision-making.
• Facilitate cross-functional collaboration to ensure solutions are delivered on time, aligned to business needs, and adopted effectively by stakeholders.
• Communicate project status, risks, dependencies, trade-offs, and recommendations clearly to both technical and non-technical audiences.
• Ensure solutions align with business priorities, compliance expectations, and operational requirements within a regulated Medicare environment.
• Proactively manage timelines, risks, open issues, and execution barriers to maintain momentum and support successful outcomes.
• Apply strong judgment, persistence, and analytical rigor to investigate complex issues and drive practical resolution.

Skills

Business analysis

Project management

Stakeholder management

Cross-functional delivery

Communication

Analytical thinking

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. This is a hybrid role requiring working 3 days per week from the office. Candidates must reside within 25 miles of Hartford, CT or Scottsdale, AZ.

Position Summary

The Senior Manager, Strategic Programs Business Solutions Liaison is a senior individual contributor within Medicare business who leads the business‑side delivery of complex, technology‑enabled initiatives. This role combines business analysis and project management to translate strategic priorities into clear requirements, drive cross‑functional execution, and ensure solutions deliver measurable operational value. Embedded within the business, this role serves as a primary liaison across business stakeholders, enterprise IT teams, and external vendor partners. The Senior Manager brings structure, visibility, and accountability to solution design, issue resolution, and implementation, with a focus on C‑SNP Condition Verification processes and other strategic business initiatives as needed.

Key Responsibilities

• Lead the business‑side delivery of complex technical and operational initiatives from scoping through implementation and stabilization
• Translate strategic business priorities into actionable requirements, business process needs, delivery plans, and decision‑ready recommendations
• Serve as the primary business liaison across internal stakeholders, enterprise IT teams, and external vendor partners
• Manage business production support for assigned initiatives, including issue triage, defect tracking, root cause analysis, and resolution follow‑through
• Monitor recurring system and process issues, identify patterns, and recommend improvements that strengthen performance, reliability, and business outcomes
• Build and maintain business process flows, operating frameworks, and executive‑ready materials that support stakeholder alignment and decision‑making
• Facilitate cross‑functional collaboration to ensure solutions are delivered on time, aligned to business needs, and adopted effectively by stakeholders
• Communicate project status, risks, dependencies, trade‑offs, and recommendations clearly to both technical and non‑technical audiences
• Ensure solutions align with business priorities, compliance expectations, and operational requirements within a regulated Medicare environment
• Proactively manage timelines, risks, open issues, and execution barriers to maintain momentum and support successful outcomes
• Apply strong judgment, persistence, and analytical rigor to investigate complex issues and drive practical resolution

Qualifications

• Minimum 5‑8 Years experience supporting Medicare Advantage, Special Needs Plans, Medicaid, or adjacent healthcare programs, with strong understanding of business operations and cross‑functional delivery needs
• Demonstrated success leading cross‑functional initiatives involving business stakeholders, enterprise systems, and technology partners
• Strong experience translating business needs into structured requirements, implementation plans, and operationally viable solutions
• Proven ability to influence across teams, manage ambiguity, and drive progress without direct authority
• Strong analytical, problem‑solving, and root cause analysis skills, including experience supporting defect management and production issue resolution
• Strong written and verbal communication skills, including experience tailoring updates for leadership, operational teams, and technical partners
• Experience with business process improvement, operational transformation, and stakeholder alignment

Preferred Qualifications

• Experience supporting C‑SNP, Condition Verification, or other population‑specific operational programs
• Familiarity with vendor‑supported platforms and business‑owned technology implementations
• Experience developing process documentation, business workflows, and executive presentation materials

Pay Range

The typical pay range for this role is: $75,400.00 ‑ $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.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.

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.

• The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 11/11/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self‑disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.