CVS Health-posted 13 days ago
$67,900 - $199,144/Yr
Full-time • Senior
Home, PA
Ambulatory Health Care Services

Leads the strategy, design, development and lifecycle management of Aetna's integrated products (HIDE/FIDE) that serve Medicare Advantage populations, including Dual-Eligible Special Needs Plans (D-SNP). This role is responsible for aligning product offerings with CMS regulations, market trends and value-based care objectives. Working cross-functionally with Duals Center of Excellence, clinical, compliance, analytics and network teams, the Senior Manager drives innovation and operational excellence to optimize member experience, reduce costs, and ensure regulatory compliance and competitive positioning.

  • Cultivate and manage relationships with key stakeholders independently or in collaboration with leadership
  • Leverage market knowledge and environmental insights to address strategic priorities and ensure competitive positioning
  • Ensure product benefits comply with regulatory requirements
  • Ensure milestone tracking across functional and market segments
  • Direct product enhancements
  • 7+ years of experience with Medicare Advantage, DSNP, HIDE and FIDE plans.
  • Strategic thinker with knowledge of managed care, value-based models and integrated delivery systems
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
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