Lead Director, Product Mgt & Development - Medicare, CVS Health

CVS Health

Location:
United States, Work At Home

Category:
Health and Beauty

Contract Type:
Employment contract

Salary:

100000.00 - 231540.00 USD / Year

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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

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Lead Director, Product Mgt & Development - Medicare