Senior Manager – Med D Stars Navigator

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🍂 Massachusetts – Remote

Although this job is listed in Massachusetts, this company may be open to hiring remote in other states.

💵 $67.9k - $199.1k / year

⏰ Full Time

🟠 Senior

👔 Manager

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CVS Health

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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.

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

📋 Description

• Designs cross-functional solutions to address client-specific challenges related to Star Ratings performance • Directs development of the organization's client-specific government programs action plan to ensure compliance with Star Ratings program • Advises organizational teams to develop and execute government program procedures and processes to ensure efficient and effective delivery of services • Leads the development of Star Rating initiatives, develops strategies, presents recommendations, and implements solutions to improve overall client-level performance • Collaborates with regional and local account management and sales teams on Star ratings strategies based on clinical intervention services • Provides support in the resolution of complex Star rating issues and requests, as well as continuously assessing program needs to expand existing opportunities • Drives the success of projects in collaboration with senior management, stakeholders, and senior individual contributors • Evaluates performance through regular, timely feedback to ensure delivery of exceptional services and engagement, motivation, and team development

🎯 Requirements

• 7+ years of experience in Medicare/Stars or Healthcare/Pharmacy Quality, Program Management, or Strategy • Health plan experience • Familiarity with CMS measurement methodologies and regulatory updates • Adept at problem solving and decision making skills • Adept at collaboration and teamwork • Adept at growth mindset (agility and developing yourself and others) • Adept at execution and delivery (planning, delivering, and supporting) • Adept at business intelligence

🏖️ Benefits

• Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs • Confidential counseling and financial coaching • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access • Many other benefits depending on eligibility