Manager, Government Program (D-SNP)

ties/programs across the market to achieve earnings, growth objectives and support fundamental execution. The ideal candidate is a strong communicator, driven, detail-oriented, collaborative, able to manage multiple projects and priorities at the time and committed to improving member experience and program performance.

Position Duties & Responsibilities

• Oversee all aspects of projects- set deadlines, assign responsibilities, coordinate with cross functional teams, monitor and summarize progress, prepare status reports.

• Proactively evaluates project activities, builds contingency plans, executes corrective actions, and monitors issue resolutions.

• Responsible for reviewing prospect and broker-facing sales material, all required plan materials (ANOC/EOC/SB/PG/PDN), scripts, online enrollment tools, etc. to ensure accuracy and compliance with federal and state requirements.

• Responsible for AEP operational readiness including the creation of education material and training of Sales teams, Customer Service, Operations, Claims, Case Management, etc.

• Partners with Member Experience team, marketing and sales in deploying local member retention and engagement activities, including development and submission of outreach material, design/implementation of outreach programs, and development of talking points/educational pieces about market specific issues.

• Assists with member and community engagement opportunities, including member advisory meetings.

• In partnership with the Product Organization and DSNP Market Lead, the role supports activities and processes including the accuracy and compliance of the annual bid application, expansion application and competitive analysis.

• Assist the D-SNP Market Lead (DML) with ensuring program compliance with federal and state regulations governing FIDE D-SNP programs.

• Partner with D-SNP Market Lead (DML), operations and functional areas in Medicare and Medicaid to address cross-functional issues impacting both Medicare and Medicaid lines of business.

• Represents the D-SNP leadership team by participating in various committees including STARS/Quality, MEU/Trends, Call Calibration, Complaints and Appeals, Bid Process, Product Implementation, AEP Readiness, etc.

• Maintains awareness of trends, developments and governmental regulations in Medicare and managed health care organizations.

• Serves as the back up to the D-SNP Market Lead (DML) for all state regulatory needs.

• Other duties as assigned

Required Qualifications:

• 5+ years' experience working with government programs such as Medicare Advantage Organization (MAO) or Medicaid in one or more of the following areas: Operations, Product, Compliance or D-SNP programs.

• Strong organization skills, creativity, and member focused approach

• Ability to manage multiple priorities, identify trends independently and remediate gaps.

• Proven track record understanding and applying requirements to assure compliance.

• Demonstrated relationship management skills; capacity to quickly build and maintain credible relationships at varying levels externally and within the organization simultaneously

• Skilled and experienced at leading cross-functional work and teams and driving results around the organization.

• Excellent written and verbal communication skills; ability to conduct internal and external presentations and represent the plan.

Preferred Qualifications

• Experience with DSNP and/or Medicaid

• Experience with NY FIDE Medicaid Advantage Plus (MAP), Virginia or New Jersey Medicare Advantage (FIDE) Dual Special Needs Plans

Education

• Bachelor's Degree or equivalent experience

Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$54,300.00 - $159,120.00This 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 peopleWe 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/benefitsWe anticipate the application window for this opening will close on: 12/29/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.