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Senior Manager, Business Analysis – Medicare/Medicaid
CVS Health. Lead business-side delivery of complex technical and operational initiatives from scoping through implementation and stabilization .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in leading complex technical and operational initiatives within a regulated Medicare environment, translating business priorities into actionable requirements and fostering cross-functional collaboration. Proficient in business process improvement, stakeholder alignment, and effective communication with diverse audiences.
Highest-signal resume keywords
Medicare Advantage ExperienceCross-Functional Initiative LeadershipBusiness Process ImprovementRoot Cause AnalysisStakeholder Alignment
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Business Process FlowsOperational TransformationDefect ManagementImplementation PlansAnalytical SkillsProblem-Solving SkillsRequirements TranslationIssue TriageProduction SupportProcess Documentation
Soft Skills
Strong Communication SkillsInfluencing SkillsCollaboration SkillsAbility to Manage AmbiguityPresentation Skills
Tools & Technologies
Vendor-Supported PlatformsBusiness-Owned Technology Implementations
Industry Keywords
MedicaidC-SNPCondition VerificationHealthcare ProgramsRegulated Environment
About the role
Key responsibilities & impact- Lead 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, including issue triage, defect tracking, root cause analysis, and resolution follow-through
- Monitor recurring system and process issues, identify patterns, and recommend improvements
- Build and maintain business process flows, operating frameworks, and executive-ready materials
- Facilitate cross-functional collaboration to deliver solutions on time and aligned to business needs
- Communicate project status, risks, dependencies, tradeoffs, and recommendations to technical and non-technical audiences
- Ensure solutions align with business priorities, compliance expectations, and operational requirements within a regulated Medicare environment
- Manage timelines, risks, open issues, and execution barriers
- Investigate complex issues and drive practical resolution
Requirements
What you’ll need- Minimum 5-8 years of experience supporting Medicare Advantage, Special Needs Plans, Medicaid, or adjacent healthcare programs
- Strong understanding of business operations and cross-functional delivery needs
- Demonstrated success leading cross-functional initiatives involving business stakeholders, enterprise systems, and technology partners
- Experience translating business needs into structured requirements, implementation plans, and operationally viable solutions
- Ability to influence across teams, manage ambiguity, and drive progress without direct authority
- Strong analytical, problem-solving, and root cause analysis skills
- Experience supporting defect management and production issue resolution
- Strong written and verbal communication skills
- Experience tailoring updates for leadership, operational teams, and technical partners
- Experience with business process improvement, operational transformation, and stakeholder alignment
- 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
Benefits
Comp & perks- CVS Health bonus, commission or short-term incentive program
- Award target in the company’s equity award program
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being