Manager, Business Consultant – Federal Accounts
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Job Description
Manager for Federal Accounts at CVS Health supporting Federal Employees Health Benefits Program. Leading complex projects and collaborating with stakeholders for effective health care solutions.
Responsibilities:
- Manage complex projects that advance the goals of self-insured federal plans, driving improvements in plan performance, operational effectiveness, and compliance.
- Collaborate with internal and external stakeholders, including clients, senior management, and cross-functional teams, to ensure alignment of strategic objectives and support key business priorities.
- Manage procurement activities for the team, including contract administration, vendor coordination, and invoice reconciliation to ensure accuracy, compliance, and timely processing.
- Manage the annual LM 10 reporting process, ensuring accurate identification, tracking, and submission of all reportable employer–union transactions in compliance with Department of Labor requirements.
- Manage network reporting for self insured federal health plans, including monitoring performance, developing and presenting client-facing insights, coordinating reporting and data validation, and resolving escalated network provider issues.
- Support the annual prescription drug audit process, ensuring accurate validation of member coverage and compliance with plan requirements.
- Manage assigned project activities independently, meeting timelines while proactively identifying and communicating risks that could impact milestones or outcomes.
- Support additional projects and initiatives as needed to meet business priorities.
Requirements:
- 5+ years of health insurance experience
- 3+ years of Project Management experience within the healthcare industry.
- Strong problem-solving and decision-making skills, including the ability to assess risks and recommend effective solutions
- Strong organization and project planning and management skills.
- Proven ability to collaborate and work effectively within cross-functional teams
- Experience and advanced knowledge of MS Office Suite applications, including Excel with the ability to use Pivot Tables for reporting
Benefits:
- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility
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