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.
Requisition Job Description
This role supports Product Portfolio & Implementation’s objectives by providing project management support analyzing legislation and ensuring the compliance of medical benefits and programs in alignment with enterprise standards. Leading portions of large projects or projects with moderate risks.
Responsibilities
- Provide in-depth analysis of legislative impacts on product standards and provide insights and recommendations, ensuring their successful implementation and compliance.
- Lead portions of large projects or lead projects with moderate risks.
- Participate in and contribute to cross-functional Product Standards Government Board meetings, Filing Governance Board meetings, and Medical Policy Review forums, supporting compliance and enterprise consistency.
- Act as a resource for colleagues in and outside of the department to offer feedback for decisions and continuous improvement strategies.
- Embrace Heart at Work behaviors, foster a spirit of trust, elevate risks, and communicate dependencies in a timely manner that allows for mitigation and/or strategic reaction.
Skills
- Adept business acumen, developing a foundational understanding of the business landscape, acquiring knowledge of market trends, and applying insights to contribute to project decision-making within the department.
- Embraces a growth mindset, actively seeking opportunities for personal and professional development within the department.
- Streamlines processes and operational workflows within the product delivery and evaluation lifecycle, contributing to improved efficiency.
- Participates in initiatives within the department’s scope, adapting to new strategies and process changes.
- Applies strategic thinking to department initiatives, aligning projects with organizational goals under the guidance of higher-level strategists.
- Competently applies project management methodologies with departmental impact, ensuring alignment with strategic goals within the department. Ability to lead portions of projects or large projects of with moderate risks and resource requirements.
- Collaborates with teams and other business units to ensure success in department initiatives, contributing to cross-functional efforts within the department.
- Developing foundational communication and presentation skills, conveying information clearly to diverse audiences within the department.
- Utilizes foundational influencing skills within the department to gain support for department strategies from colleagues and stakeholders.
- Establishing a foundational comprehension of product intricacies, contributing to project decision-making within the department’s context.
- Builds relationships colleagues and customers, focusing on enhancing departmental outcomes.
- Foundational proficiency in desktop tools and basic data analysis techniques, supporting decision-making and continuous improvement with the department.
Required Qualifications
- 5-10 years of experience in the insurance industry
- Previous experience with healthcare regulatory insurance environment
- Deliver effective and accurate written and verbal communications.
- Ability to manage multiple long-term, complex, cross-functional projects as needed.
- Achieve results and adhere to required metric and reporting requirements.
- Interact effectively with different audiences and levels of leadership. Partner with team members, Leadership and Business SMEs to drive effective collaboration.
Preferred Qualifications
- Preferred knowledge of AQC/CPQ system functionalities
- Demonstrated knowledge and expertise of Aetna Commercial medical products, benefits and behavioral health, pharmacy, vision and dental.
Education:
Bachelor's degree or equivalent experience
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$54,300.00 - $159,120.00
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.
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:
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Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
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No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
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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: 05/25/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Top Skills
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners.
Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
