Senior Manager, Program Design and Operations Strategy, Cardiometabolic Solutions

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Senior Manager, Program Design and Operations Strategy, Cardiometabolic Solutions

We have an outstanding opportunity for a highly driven and organized leader to join our Healthspire Payor Solutions Product team focusing on Cardiometabolic products.

About CVS Healthspire:

The CVS Health Healthspire Payor Solutions organization designs, delivers, and operates a configurable collection of products, programs, and tools that complement the benefit plans of our enterprise employer and health plan customers. Our care delivery and care management solutions target population health outcomes that require risk mitigation, intervention, and ongoing chronic care management.  We use technology-enabled population identification based on multisource data integration – medical claims, pharmacy claims, lab data and patient inputs– for applying evidence-based opportunities and an omnichannel, next best action approach. Advanced analytics drive higher engagement and better care delivery through a comprehensive machine learning platform and our one-on-one patient connections. Our solutions deliver a highly engaging digital and virtual care experience for patients helping them improve their health outcomes.

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About The Role:

We are seeking an agile and strategic Senior Manager, Program Design and Operations Strategy, Cardiometabolic Solutions to join our Product team to lead and shape the future of our cross-portfolio condition management programs. As a Senior Manager, you will be responsible for designing and managing the delivery of patient care programs in the cardiometabolic space. You will collaborate with Clinical Operations, Medical Affairs, Legal, Data Science, and others to design and manage highly scaled patient-facing components across our cardiometabolic product portfolio. You will work with data to understand how product engagement is performing and design and deliver enhancements that drive strong clinical outcomes, program engagement, and improve patient experience.  In this role you will be responsible unpack complex opportunities, quantify and prioritize them, and lead groups of diverse stakeholders to deliver on your objectives.

Key Responsibilities:

• Independently leading dozens of partners across Clinical Operations, Medical Affairs, Legal, Sales, Account Management, Data Science & Engineering, IT, Client Analytics to structure and execute on new program designs and enhancements
• Partner with Marketing, Sales, and Account Management to communicate program performance and our product roadmap
• Build business cases to justify and prioritize product enhancements and design a measurement strategy to measure their impact
• Define longitudinal patient journeys that meet engagement and clinical outcomes, write requirements, and then partner with Operations and Technical stakeholders to bring these experiences to life  
• Design, enhance, and manage patient and clinician experiences, processes, protocols, assessments, and workflows
• Develop and maintain strong, strategic relationships with key suppliers and matrix partners to drive partnership and performance
• Evaluate KPI and SLA performance, measuring program efficacy to formulate and subsequently deliver upon quality improvement plans  
• Leverage data-driven insights and a deep understanding of patient and client needs and market dynamics to identify and prioritize items enhancement
• Conducting deep dive quantitative and qualitative analyses to identify opportunities for innovation and process improvement

This job might be for you if:

• You are passionate about working on products that have a meaningful impact to our clients and patients, truly helping people on their path to better health
• You are highly agile in adapting to new industry dynamics and business needs
• You are energized by being part of a large cross functional team working in a hands-on, fast paced, and dynamic environment
• You enjoy quantifying and solving complex business problems and are able to take ideas and communicate them effectively to leadership and diverse stakeholder groups
• You are able to understand complex systems, processes, and problems and are able to distill topics and information to create manageable direction for yourself and your team

Required Qualifications:

• 5+ years of experience in product management/development, product operations & strategy, or program management within the healthcare space preferably at a health tech, tech-enabled provider, or Payor/PBM organization
• 5+ years of experience managing multiple projects and prioritizing work based on impact and team priorities
• 5+ years of experience developing analyses, presentations, and support materials to successfully drive product strategy decisions and deliver operational process change
• 5+ years of experience in strategic thinking including quantitative, analytical, and problem-solving skills
• 5+ years of making informed, data-driven decisions, with a strong emphasis on translating data insights into actionable strategies.
• 4+ years of experience managing relationships at a senior level; capacity to quickly build and maintain credible relationships at varying levels both within CVS Health and outside of the organization
• 2+ years managing one or more employees  

Preferred Qualifications:

• Experience within the care delivery and management industry
• Experience in management consulting
• Experience manipulating and analyzing data from large databases using SQL or other appropriate software
• Expertise in vendor contracting and relationship management
• Master’s or other advanced degree is preferred

Location

This position can work remotely from home or office from one of the CVS Health corporate locations. Occasional travel is required (10-20%)

Education

• Bachelor's Degree required; may consider comparable work experience

Pay Range

The typical pay range for this role is:

$67,900.00 - $199,144.00

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. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 01/31/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.