Senior Manager, Project Manager, Aetna Medicare Medical Pharmacy

ithin Medicare Part B. Partners with business owners to optimize the achievement of strategic business objectives, including profitable growth and improved organizational effectiveness.Fundamental Job Components:

• Lead the day-to-day operations of key business projects and programs around utilization management (UM), clinical programs, and pharmacy operations.
• Proactively leads projects by setting direction, creating project plans, timelines, identifying key milestones, and allocating resources needed for selected projects.
• Support the submission of pharmacy policies through multiple approval bodies.
• Support the posting of pharmacy policies for internal and external partners and stakeholders.
• Develop processes, procedures, and systems to ensure consistent results and organizational compliance with regulations related to the organization's Medicare Part B program operations.
• Triage escalation requests to the correct internal partner and document resolution of Part B drug escalations.
• Identify gaps and recommend enhancements related to new and/or existing products, services, and workflows based on a broad view of the organization.
• Lead change initiatives and remains flexible to changing business needs, identifying and implementing continuous quality improvement.
• Conduct and lead meetings/presentations with cross-functional business partners ensuring team participation and collaboration.
• Clearly communicates plans for implementation to ensure all impacted parties (upstream/downstream) are informed of next steps for completion, facilitating team communication and coordination.
• Other duties as assigned.

Required Qualifications:

• 5 years of experience leading processes, products, and/or people
• Experience managing complex processes that require strong attention to detail
• Experience partnering with cross functional teams, PBM or Health Plan experience preferred
• Proven ability to collaborate effectively across teams and build strong relationships.
• Exceptional problem-solving and decision-making skills.
• Growth mindset with a focus on agility, continuous learning, and development.
• Proficient user of Excel, PowerPoint, Word

Preferred Qualifications:

• Project management certification.

Education:

• Bachelor's degree preferred or a combination of equivalent work experience and education.

Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$67,900.00 - $199,144.00This 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: 10/25/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.