Manager, Bus Consultant

CVS Health



Trenton, NJ

Why you should apply for a job to CVS Health:

  • 62% say women are treated fairly and equally to men
  • 52% say the CEO supports gender diversity
  • Ratings are based on anonymous reviews by Fairygodboss members.


    Position summary

    NextGen platform. This role is responsible for delivering configuration for various enrollment, billing, reconciliation,
    correspondence and reporting Stories within an Agile framework.
    • Serves as a member of the team to deliver purpose built configuration for the Medicare Enrollment Operations Team on the Next
    Generation Platform.
    • Independently designs and / or configures efficient, cost effective application program solutions for the Enrollment Operations Team on the
    Next Generation Platform Program for the Medicare organization, including products for Medicare Advantage (MA), Medicare Advantage with
    Prescription Drug Coverage (MAPD) and stand-alone Prescription Drug Plans (PDP) and potentially Medicaid.
    • Able to write SQL / PLSQL at an intermediate to advanced level
    • Develops new and / or reuses existing configuration through the use of program development software and / or integrates purchased

    • With limited direction, translates business requirements to technical specifications.
    • Creates technical designs for a new application or enhancements, including integration of purchased solutions.
    • Performs ongoing system maintenance, research, problem resolution and on-call support, according to defined plans or documentation for
    existing systems.
    • Is fully familiar with the prescribed methodology and is in strict compliance with all required artifacts.
    • Independently performs unit testing. May perform or assist with integration and system testing, according to detailed test plans to ensure
    high-quality systems.
    • May assist business partners with User Acceptance Testing.
    • Independently supports processes related to the implementation of systems into production, including integration of purchased solutions.
    Independently works on multiple projects and/or SRs and actively participates as a member of each project team supporting an application or
    set of applications.
    • Independently works on small and large moderately complex projects that require increased skill in multiple technical environments and
    disciplines, that have system wide impact and that may integrate across the organization.
    • Supports reviews and signs off on all design documents prior to configuration.
    • Supports reviews of all configuration built by other Business Consultants.
    • Supports Leads with coaching / mentoring for other Business Consultants performing configuration within the system.

    Required Qualifications
    • Experience PLSQL / Oracle databases; Intermediate / Advanced (2-4 years)
    • Experience with software development lifecycles; application development (2-4 years)

    Preferred Qualifications
    • Experience with Market Prominence, MHK's (formerly MedHOK) Enrollment, Billing and Correspondence platform
    • Information Technology / Release & Resource Management (2-4 years)
    • Medical Management / Medical Management - Government Administration (2-4 years)
    • Experience with member materials / correspondence implementation experience (2-4 years)
    • Experience with Medicare or Medicaid Enrollment, Billing and Correspondence Operations (2-4 years)
    • Leadership / Creating Accountability (Intermediate)
    • Leadership / Developing and Executing Strategy (Intermediate)
    • Leadership / Driving a Culture of Compliance (Foundational)
    • General Business Consulting for Solutions (Intermediate)
    • Leadership / Anticipating and Innovating (Intermediate)
    • Technology / Justifying the Business Case (Intermediate)
    • Experience with enterprise-wide and / or cross-functional large scale initiatives with high degree of complexity.
    • Demonstrated experience successfully implementing change in complex organizations
    • Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying
    levels of the organization simultaneously.

    • Bachelor's degree or equivalent experience

    Pay Range

    The typical pay range for this role is:

    $63,300.00 - $139,200.00

    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.

    In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

    For more detailed information on available benefits, please visit

    We anticipate the application window for this opening will close on: 04/30/2024

    Why you should apply for a job to CVS Health:

  • 62% say women are treated fairly and equally to men
  • 52% say the CEO supports gender diversity
  • Ratings are based on anonymous reviews by Fairygodboss members.