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
Directs the formulation, implementation and milestone tracking for business plans as part of the Medicare benefit and product cycle. Directs the strategic development and implementation of large product initiatives, including new products and product enhancements for Medicare pharmacy business strategic plans, product implementation, regulatory oversight Medicare PDP, MAPD, DSNP for both individual and employer plan types. Represent Medicare Pharmacy and Product strategic issues with within Medicare matrix partners in addition to PBM, cross functional Aetna pharmacy Organization and Executive leadership. As a highly regulated function, this role will also oversee delegated PBM functions, cross Medicare Pharmacy Organizational Compliance with CMS regulations as well as pharmacy functions required for various state contracts for our growing DSNP market.
This role requires an active, unrestricted pharmacist license in good standing.
What You Will Do
This is a remote role open to qualified candidates within the United States.
Required Qualifications
10+ years of Managed Care experience in health plan and/or PBM roles
10+ years Medicare experience
CMS audit experience
HPMS experience
Preferred Qualifications
15+ years of Managed Care experience in health plan and/or PBM roles
15+ years Medicare experience
Education
Pharmacist, BS or Pharm D with active, unrestricted license in good standing
Pay Range
The typical pay range for this role is:
$100,000.00 - $231,540.00
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.
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.