Senior Advisor - Medicare FP&A

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 serves as a key leader responsible for ensuring the accuracy, compliance, and operational integrity of the organization’s Medicare Part D programs -- Medicare Advantage, SSIC, DSNP, and MMP programs. Operating as a highly visible subject matter expert, this role manages critical CMS Part D reporting requirements, and provides strategic guidance on regulatory and financial matters that directly influence enterprise performance of Part D. This individual contributor role will routinely partner with Compliance, Finance, Audit, Pharmacy Operations, and external stakeholders including the PBM to resolve complex issues, strengthen operational controls, and ensure adherence to CMS standards for our Part D programs. The Senior Manager also contributes to automation, data governance, and ETL optimization initiatives to enhance efficiency and reliability of enterprise reporting and accuracy of Part D. Key Responsibilities Medicare Part D & CMS Compliance Oversee annual and ongoing CMS Part D submissions, including PDE and HPMS attestation requirements. This will include monitoring completeness and accuracy of Part D submissions to CMS. Ensure alignment with evolving CMS Part D guidance by coordinating with Compliance and Operational Integrity teams and our PBM. Lead and assist in annual reporting, testing, and validation efforts of Part D for PDE, claims, LEP, MSP, COB, and rebate workflows. Assist in managing resolution of Acumen PDE tickets, ensuring timely and accurate responses. Partner with Pharmacy O...