Manager, Business Consultant – Federal Accounts

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🕒 Yesterday

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $54.3k - $145.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Manage complex projects that advance the goals of self-insured federal plans, driving improvements in plan performance, operational effectiveness, and compliance. • Collaborate with internal and external stakeholders, including clients, senior management, and cross-functional teams, to ensure alignment of strategic objectives and support key business priorities. • Manage procurement activities for the team, including contract administration, vendor coordination, and invoice reconciliation to ensure accuracy, compliance, and timely processing. • Manage the annual LM 10 reporting process, ensuring accurate identification, tracking, and submission of all reportable employer–union transactions in compliance with Department of Labor requirements. • Manage network reporting for self insured federal health plans, including monitoring performance, developing and presenting client-facing insights, coordinating reporting and data validation, and resolving escalated network provider issues. • Support the annual prescription drug audit process, ensuring accurate validation of member coverage and compliance with plan requirements. • Manage assigned project activities independently, meeting timelines while proactively identifying and communicating risks that could impact milestones or outcomes. • Support additional projects and initiatives as needed to meet business priorities.

🎯 Requirements

• 5+ years of health insurance experience • 3+ years of Project Management experience within the healthcare industry. • Strong problem-solving and decision-making skills, including the ability to assess risks and recommend effective solutions • Strong organization and project planning and management skills. • Proven ability to collaborate and work effectively within cross-functional teams • Experience and advanced knowledge of MS Office Suite applications, including Excel with the ability to use Pivot Tables for reporting

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility