Sr. Manager Business Analysis - Medicare / Medicaid

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
The Senior Manager, Strategic Programs Business Solutions Liaison is a senior individual contributor within Medicare business who leads the business-side delivery of complex, technology-enabled initiatives. This role combines business analysis and project management to translate strategic priorities into clear requirements, drive cross-functional execution, and ensure solutions deliver measurable operational value.

Embedded within the business, this role serves as a primary liaison across business stakeholders, enterprise IT teams, and external vendor partners. The Senior Manager brings structure, visibility, and accountability to solution design, issue resolution, and implementation, with a focus on C-SNP Condition Verification processes and other strategic business initiatives as needed.

Key Responsibilities

• Lead the business-side delivery of complex technical and operational initiatives from scoping through implementation and stabilization
• Translate strategic business priorities into actionable requirements, business process needs, delivery plans, and decision-ready recommendations
• Serve as the primary business liaison across internal stakeholders, enterprise IT teams, and external vendor partners
• Manage business production support for assigned initiatives, including issue triage, defect tracking, root cause analysis, and resolution follow-through
• Monitor recurring system and process issues, identify patterns, and recommend improvements that strengthen performance, reliability, and business outcomes
• Build and maintain business process flows, operating frameworks, and executive-ready materials that support stakeholder alignment and decision-making
• Facilitate cross-functional collaboration to ensure solutions are delivered on time, aligned to business needs, and adopted effectively by stakeholders
• Communicate project status, risks, dependencies, tradeoffs, and recommendations clearly to both technical and non-technical audiences
• Ensure solutions align with business priorities, compliance expectations, and operational requirements within a regulated Medicare environment
• Proactively manage timelines, risks, open issues, and execution barriers to maintain momentum and support successful outcomes
• Apply strong judgment, persistence, and analytical rigor to investigate complex issues and drive practical resolution

Qualifications

• Minimum 5-8 Years experience supporting Medicare Advantage, Special Needs Plans, Medicaid, or adjacent healthcare programs, with strong understanding of business operations and cross-functional delivery needs
• Demonstrated success leading cross-functional initiatives involving business stakeholders, enterprise systems, and technology partners
• Strong experience translating business needs into structured requirements, implementation plans, and operationally viable solutions
• Proven ability to influence across teams, manage ambiguity, and drive progress without direct authority
• Strong analytical, problem-solving, and root cause analysis skills, including experience supporting defect management and production issue resolution
• Strong written and verbal communication skills, including experience tailoring updates for leadership, operational teams, and technical partners
• Experience with business process improvement, operational transformation, and stakeholder alignment

Preferred Qualifications

• Experience supporting C-SNP, Condition Verification, or other population-specific operational programs
• Familiarity with vendor-supported platforms and business-owned technology implementations
• Experience developing process documentation, business workflows, and executive presentation materials

The typical pay range for this role is: