Sr. Manager : Med D Stars Navigator

CVS Health Job Opportunity

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 Designs cross-functional solutions to address client-specific challenges related to Star Ratings performance. This work results in initiatives that significantly impact organizational strategy, enabling the organization to be competitive in the marketplace and effectively serve its customers. Partners with business owners to optimize the achievement of strategic objectives, to include improved Star Ratings performance and improved organizational effectiveness. What You Will Do 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. Attends ongoing professional development courses staying up-to-date with industry regulations and best practices to ensure the organization's compliance with security regulations in the government program sector. Evaluates performance through regular, timely feedback to ensure delivery of exceptional services and engagement, motivation, and team development. Required Qualifications 7+ years experience in Medicare / Stars or Healthcare / Pharmacy Quality, Program Management, or Strategy Preferred Qualifications 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) skills Adept at execution and delivery (planning, delivering, and supporting) skills Adept at business intelligence Educational Requirements Bachelors degree or relevant professional experience required Pay Range The typical pay range for this role is : $67,900.00 - $199,144.00 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. For more information, visit https : / / jobs.cvshealth.com / us / en / benefits We anticipate the application window for this opening will close on : 12 / 08 / 2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex / gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.