Senior Manager, Integrated D-SNPs

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. At Aetna®, part of CVS Health, we proudly serve more than 26 million medical members through our broad range of health plan offerings. We're committed to delivering a simpler, more meaningful, and personal health care experience to each of them. As a Senior Manager, Integrated D-SNPs , you will play a critical role in supporting our Aetna members and our business by being a driving force within Aetna’s Medicare Organization’s National Duals Program Office which sets the strategy for the company’s Dual-Eligible Special Needs Plan (D-SNP) program and manages its Institutional Special Needs Plan (I-SNP) program and Special Needs Plan (SNP) training. As the Senior Manager of Integrated D-SNPs, you will focus on items pertaining to the integration of Medicare and Medicaid. You will have a dotted line to the National Duals Program Office’s Lead Director of Medicaid Policy and support projects from conception to execution and ongoing maintenance. You will also collaborate with the National Duals Program Office’s Special Needs Plan Trainer and serve as a subject matter expert for reviews of content focused on items such as: D-SNPs (Coordination-Only, Highly Integrated, and Fully Integrated), Applicable Integrated Plans, Lessor-Of payment methodologies, the Medicare Savings Program, etc. This role also includes partnering with internal Medicaid stakeholders on workgroups and other tasks focused internal Medicaid and Medicare alignment opportunities. You will also help identify and address opportunities for collaborations involving D-SNP and...