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Senior Manager Medicare Retention

CVS Pharmacy - Hartford, CT

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Job Description

Job DescriptionThe Medicare Retention Center of Excellence is seeking a Senior Manager. The Senior Business Manager, Medicare Retention, will be responsible for supporting the management of Medicare MA member retention efforts. Key responsibilities include supporting the development, implementation, and management of Aetna Medicare's retention strategy in order to maintain and improve member lapse rates. The Senior Manager will work with relevant business partners to address retention issues and proactively mitigate with initiatives based on drivers of lapse data. This role will work across the Medicare business for best-in-class member experience. This role will measure capital deployment to maximize member experience and financial results. The Senior Manager will collaborate with the analytics team to develop retention strategy and operations. This position reports to the Executive Director, Medicare Retention & QIA.Required QualificationsFundamental Components/Job Description: Support Medicare retention strategic initiatives including network, product, distribution channel, clinical, Stars, member experience, and operations to influence a culture of retention to enhance member experience and business performance Partners with "on-the-ground" channels to gather and analyze data on member experience Collaborates with analytic resources to develop and deliver all required analysis, reporting and presentation materials Gathers, analyzes and synthesizes competitive intelligence to drive achievement of retention objectives Integrates baseline and metric tracking into initiative planning and execution for optimal results Shares joint accountability for initiative's return on investment Collaborates with matrixed staff as required in support of initiatives Provides support in the selection and use of long-term retention engagements Provides support to or drives retention planning as required Designs, develops interventions, and facilitates work sessions Facilitates diverse internal and external networks, as appropriate, for data gathering and best practice identification Leverages internal and external networking to drive optimal initiative results and knowledge/best practice transferCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications Knowledge of industry driving factors for healthcare, Medicare Advantage desired Medicare Advantage product knowledge; experience with the CMS bid process Experience with managing broker relationships Demonstrated success leading metric driven initiatives Proven results with member experience Comfortable working with data analytics to support capital deployment and bolster member experience Capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously Demonstrated experience successfully implementing change in complex organizations Experience with enterprise-wide and/or cross-functional large-scale initiatives with high degree of complexity 5+ years' experience with several of the following methodologies: management consulting, project consulting, business process consulting, financial strategic analysis, mergers and acquisitions, strategic business planning, and/or risk management consulting Bachelor's degreeEducationUndergraduateBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2025-10-04

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