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Lead Director, Product Mgt & Development - Medicare

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Work At Home

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Category:
Health and Beauty

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Contract Type:
Employment contract

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Salary:

100000.00 - 231540.00 USD / Year

Job Description:

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 for Medicare PDP, MAPD, DSNP for both individual and employer plan types. Requires an active, unrestricted Pharmacist license in good standing.

Job Responsibility:

  • Cultivates and develops relationships with key constituents independently or in concert with Health Plan and/or Enterprise senior leaders
  • Directs the formulation, implementation and milestone tracking for business plans
  • Leverages in-depth knowledge and understanding of Medicare products across functions and market segments in directing the development and implementation of new product initiatives, including product enhancements
  • Directs and evaluates requirements and specifications in building appropriate business and clinical processes and systems to support product initiatives
  • Incorporates results into strategic plan development and on-going product performance monitoring
  • Consult on / drive effective product offerings to meet organizational goals and compliance requirements
  • Directs the establishment of large cross functional development and implementation work groups, encouraging innovative use of resources to achieve objectives
  • Encourages cross-functional collaboration, supporting information needs to solve business issues and support project requirements
  • Recruits and selects well-qualified, diverse and talented management staff
  • Identifies long term needs of the organization and establishes succession plans for key personnel
  • Maintains environment and reward system that encourages initiative, learning and empowerment
  • Articulates performance expectations and team objectives while collecting and interpreting balanced measures to evaluate team performance
  • Communicates and consults with Senior Management to ensure that product initiatives focus on long term results/earnings and represent all constituencies effectively

Requirements:

  • 10+ years of Managed Care experience in health plan and/or PBM roles
  • 10+ years Medicare experience
  • CMS audit experience
  • HPMS experience
  • Pharmacist license, BS or Pharm D with active, unrestricted license in good standing

Nice to have:

  • 15+ years of Managed Care experience in health plan and/or PBM roles
  • 15+ years Medicare experience
What we offer:
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • employee stock purchase plan
  • no-cost programs including wellness screenings, tobacco cessation and weight management programs, confidential counseling, financial coaching
  • paid time off
  • flexible work schedules
  • family leave
  • dependent care resources
  • colleague assistance programs
  • tuition assistance
  • retiree medical access

Additional Information:

Job Posted:
September 26, 2025

Expiration:
October 30, 2025

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:
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