Sr. Manager, Medicare Member Materials Configuration

CVS Health; United States; Remote; USD 67,000 - 150,000; Full time

Job summary

CVS Health is seeking a Medicare Member Materials Specialist responsible for creating and influencing Medicare materials. This role requires expertise in logic-based programming and experience with health plan documentation to ensure materials meet regulatory standards. The ideal candidate has strong attention to detail, effective communication skills, and experience in a Medicare-related environment.

Benefits

401(k) plan with matching contributions

Affordable medical plan options

Flexible work schedules

Tuition assistance

Paid time off and family leave

Qualifications

• 3+ years in Medicare member materials experience.
• 3+ years supporting health care applications.
• Ability to troubleshoot document and application logic errors.

Responsibilities

• Responsible for Medicare Advantage document logic configuration.
• Participating in peer reviews and auditing for accuracy.
• Identifying and debugging coding issues.

Skills

Logical thinking

Attention to detail

Communication

Education

Bachelor's degree or equivalent experience

Tools

HTML

XML

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
This individual contributor position reports to the Lead Director, Medicare Member Materials.

This is an exciting opportunity to join our team! You will be responsible for directly creating and influencing our Medicare materials, specifically the Mid-Year Enrollee Notification of Available Supplemental Benefits, sent to all beneficiaries outlining usage of supplemental benefits during the plan year.

This role involves logic-based programming similar to advanced Excel formulas, not back-end software development.

What You Will Do

Whether it’s developing strategic logic-based configurations or troubleshooting issues in document logic, your role will be a very important one to ensuring our documents are created accurately. Day to day responsibilities include:

Responsible for configuration logic and rules for Medicare Advantage health plan documents using our proprietary front-end document authoring tools

Participating in peer review and auditing to support accuracy

Identifying coding issues and debugging

Identifying gaps in processes or organization, and challenge self and others to develop and implement solutions

Supporting a sense of urgency regarding managing tasks and timelines

Promoting synergy through inter-departmental partnerships

Managing projects and tasks in an independent manner

Influencing all stake holders to support key projects/programs to ensure positive outcomes that deliver on results

Collaborating and partnering with other functional/business areas to ensure all workflow processes and interdependencies are identified and addressed

Acting as an advocate for change requiring influencing others to see the value in project

Required Qualifications

3+ years of Medicare member materials experience at a regional or national health plan

3+ years of experience supporting health care applications

Ability to use logical thinking to design efficient front-end rules and logic (similar to conditional formulas or scripting) to achieve desired outcomes

Ability to troubleshoot document logic or rule-based configuration errors as well as application errors

Ability to meet strict deadlines

Excellent communication and interpersonal skills

Strong attention to detail

Drives change to improve performance results, organization effectiveness and/or systems/quality/services (e.g., policies, processes or systems)

Preferred Qualifications

Prior experience in working with translation vendors to support creating multi-lingual materials

Demonstrated success working to build new technologies and software to support member materials compliance

Knowledge of Medicare Advantage rules, including the Medicare Managed Care Manual and Medicare Marketing Guidelines

Familiarity with markup or logic-based languages (e.g., HTML, XML, or conditional scripting)

Education

Bachelor's degree or equivalent experience

Pay Range

The typical pay range for this role is:

$67,900.00 - $149,328.00

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
This individual contributor position reports to the Lead Director, Medicare Member Materials.

This is an exciting opportunity to join our team! You will be responsible for directly creating and influencing our Medicare materials, specifically the Mid-Year Enrollee Notification of Available Supplemental Benefits, sent to all beneficiaries outlining usage of supplemental benefits during the plan year.

This role involves logic-based programming similar to advanced Excel formulas, not back-end software development.

What You Will Do

Whether it’s developing strategic logic-based configurations or troubleshooting issues in document logic, your role will be a very important one to ensuring our documents are created accurately. Day to day responsibilities include:

• Responsible for configuration logic and rules for Medicare Advantage health plan documents using our proprietary front-end document authoring tools

• Participating in peer review and auditing to support accuracy

• Identifying coding issues and debugging

• Troubleshooting application errors

• Identifying gaps in processes or organization, and challenge self and others to develop and implement solutions

• Supporting a sense of urgency regarding managing tasks and timelines

• Promoting synergy through inter-departmental partnerships

• Managing projects and tasks in an independent manner

• Influencing all stake holders to support key projects/programs to ensure positive outcomes that deliver on results

• Collaborating and partnering with other functional/business areas to ensure all workflow processes and interdependencies are identified and addressed

• Acting as an advocate for change requiring influencing others to see the value in project

Required Qualifications

• 3+ years of Medicare member materials experience at a regional or national health plan

• 3+ years of experience supporting health care applications

• Ability to use logical thinking to design efficient front-end rules and logic (similar to conditional formulas or scripting) to achieve desired outcomes

• Ability to troubleshoot document logic or rule-based configuration errors as well as application errors

• Ability to meet strict deadlines

• Excellent communication and interpersonal skills

• Strong attention to detail

• Drives change to improve performance results, organization effectiveness and/or systems/quality/services (e.g., policies, processes or systems)

Preferred Qualifications

• Prior experience in working with translation vendors to support creating multi-lingual materials

• Demonstrated success working to build new technologies and software to support member materials compliance

• Knowledge of Medicare Advantage rules, including the Medicare Managed Care Manual and Medicare Marketing Guidelines

• Familiarity with markup or logic-based languages (e.g., HTML, XML, or conditional scripting)

• Master’s degree

Education

Bachelor's degree or equivalent experience

Pay Range

The typical pay range for this role is:

$67,900.00 - $149,328.00

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 people

We 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/benefits

We anticipate the application window for this opening will close on: 06/15/2025

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

About the company

At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simple and seamless, to not only help people get well, but help them stay well in body, mind and spirit.

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