Senior Manager, Business Consultant- Provider Network Platform Solutions Hybrid

Bring your heart to CVS Health. Every 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.

Aetna is recruiting for a Sr. Manager role that will serve as an intake lead for our Network Platform Solutions organization.

This role will have responsibility for assessing emerging business needs and working cross-functionally to evaluate process and technology solutions to meet them.

Hybrid role, commutable distance to any office location

Key Responsibilities

Analyzes, designs, and implements a standard intake, review, and approval process; iteratively improves the process; and ensures intake standards are followed.

Manages, organizes, and analyzes intake requests from various stakeholders.

Consults with requestors to understand desired state process and business outcomes, evaluate needs against current platform strategies and enhancement roadmaps and collaborate to develop high level business requirements for request.

Coordinates cross-functional request reviews with technology partners and platform SMEs to identify solution options and associated cost estimates.

Works closely with leadership & business stakeholders to secure solution approval, funding / resource alignment and initiate execution plans.

Accountable for managing pipeline of requests and overseeing the evaluation of multiple requests at any given time.

Cultivates and manage relationships with various internal business partners.

Exercises sound judgment and critical thinking skills, demonstrates analytical / problem-solving skills.

Minimum Requirements

Minimum 7+ years’ experience in health insurance industry, preferably in a role related to network, provider, or payer operations.

Demonstrated experience collaborating with business partners to understand their strategy, problems, and goals.

Demonstrated ability to leverage data and insights to make informed business decisions.

Proven consultation and collaboration skills

Preferred Requirements :

Project or Project management training / certification

Education :

Bachelor's degree preferred / specialized training / relevant professional qualification

Pay Range

The typical pay range for this role is :

$67,900.00 - $190,700.00

This 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.

This position also includes an award target in the company’s equity award program.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.

The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.

The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits.

CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.

As for time off, Company employees enjoy Paid Time Off ( PTO ) or vacation pay, as well as paid holidays throughout the calendar year.

Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.