Senior Manager, Performance and Quality

Job not on LinkedIn

🔥 19 hours ago

⚓ Rhode Island, South Carolina – Remote

⚓ Rhode Island – Remote 🌴 South Carolina – Remote

💵 $67.9k - $182.5k / year

⏰ Full Time

🟠 Senior

👔 Manager

👻 Ghost score 0%

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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

• Develop proposal strategies and response plans for renewals, RFPs, RFIs, client-requested program and benefit-change proposals, and contract amendments • Manage end-to-end development and submission of proposals and formal client responses • Partner with account, executive, Finance, Legal, Clinical, and Operations leadership to define key messages and validate pricing, performance guarantees, and contract commitments • Write client-ready narratives and executive communications and represent the team in client meetings • Lead project management for implementations and account changes, including new programs, vendor transitions, and benefit or system changes • Build and manage project plans with timelines, milestones, owners, and dependencies • Research client needs, program developments, and market and competitive trends • Implement standardized templates, content libraries, style guides, and quality checklists, and train contributors • Support contract negotiations by coordinating redlines, negotiating items, and documenting decisions and approvers • Own the audit request log and coordinate audit intake, scoping, ownership, and evidence production • Perform quality reviews of audit responses and evidence packages and coordinate secure submission and retention • Maintain corrective action plans for contract breaches and lead responses to formal client CAP processes • Track audit findings, management responses, fixes, and closeout against contract timelines • Report recurring performance and quality themes to leadership

🎯 Requirements

• 7+ years of work experience • Experience managing end-to-end proposal or RFP responses for complex healthcare or PBM clients • Experience planning, executing, and delivering across concurrent deadlines and owners • Proficiency with Microsoft Excel, Word, PowerPoint, SharePoint, and proposal content-management tools • PBM, health plan, or government program experience, including implementations or vendor transitions • Experience coordinating audits, regulatory requests, or evidence-based client reviews • Experience validating pricing, performance guarantee, or contract commitments in proposals • Proposal management or project management certification • Bachelor’s degree or equivalent experience • Ideal candidate will live in the Eastern Time Zone

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program • Award target in the company’s equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being

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