Manager, Business Consultant - Scrum Team (IC) at CVS Health

, Vermont, United States -

Full Time

Start Date

Immediate

Expiry Date

08 May, 26

Salary

159120.0

Posted On

07 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

PLSQL, SQL Server, Oracle, Data Analytics, Agile Framework, Business Requirements, Functional Specifications, Impact Analysis, Test Planning, Test Execution, Data Models, Workflow Diagrams, Relationship Management, Medicare Enrollment, Billing Processes, Change Implementation

Industry

Hospitals and Health Care

Description

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 This is a Scrum Team role that will be a member of the Medicare / Medicaid / Exchange Enrollment Configuration team tasked with developing purpose-built capabilities for our NextGen platform. This role is primarily responsible for delivering configuration for post-enrollment, file extract, and reporting Stories within an Agile framework. Performs analysis and translates business needs to create high-quality Business Requirements and Functional Specifications documentation within specified time frames to solve mildly complex problems (one or two interfaces with other systems within a business unit) considering all impacted components from an end-to-end perspective. Performs data analytics using SQL / PLSQL at a beginner level. Ensures end-to-end traceability of requirements is complete. Applies specific functional and/or business expertise to perform assigned tasks and develop specific project deliverables. Conducts impact analysis of configuration changes on business processes and existing technology. Competent to work with limited supervision in a technical capacity on most phases of the business systems analysis. Contributes to the review of Test Planning and Test Execution strategies. Develops business workflow diagrams. Assists in the development of data models and interface design specifications. Documents, tracks, and resolves issues related to data quality. Participates in collaborative system and data design sessions with the user community, technical architecture resources, and development resources. Completes project activities on time and within budget, and proactively identifies and communicates issues that may jeopardize milestones or project budget to the Project Manager / Product Owner. Adheres to SDLC or AGILE project management methodology by utilizing internal procedures and tools and identifying areas for methodology improvement. Develops Product Overviews, FAQs, Tool Glossaries, system training material, and system user documentation to support implementation activities. Creates appropriate communication materials and ensures they are distributed appropriately. Conducts interviews, fact-finding, and independent research to design creative, progressive solutions for business problems. Leverages Subject Matter Expertise of the Medicare Enrollment, Billing and Correspondence operational processes in support of assignments Supports the Product Owner with other Scrum Team tasks (hosts / facilitates meetings, taking detailed notes, completes analysis / research) Required Qualifications Experience with PLSQL, SQL Server and / or Oracle, SQL Server databases (2-4 years) Experience with software development lifecycles (2-4 years) Experience with analytical techniques (Scenarios and Use-cases, Scope Modeling, Functional Decomposition, Interviews, Observation / Job Shadowing, Focus Groups, Acceptance and Evaluation, Sequence Diagrams, User Stories, Brainstorming, Storyboarding, Prototyping, Event Analysis, Business Rule Analysis, Requirements Workshops, Risk Analysis, Root Cause Analysis) (2-4 years) Preferred Qualifications Experience with Market Prominence, MHK's (formerly MedHOK) Enrollment, Billing and Correspondence platform Experience with Medicare post-enrollment processing, including Transaction Reply processing, disenrollment processing, enrollment cancellations, membership updates, etc (2-4 years) Government Services Administration - Medicare, Medicaid, Individual Exchanges (2-4 years) Driving Change (Foundational) Leadership / Creating Accountability (Foundational) Leadership / Driving a Culture of Compliance (Foundational) General Business Consulting for Solutions (Foundational) Leadership / Anticipating and Innovating (Foundational) Technology / Justifying the Business Case (Foundational) Demonstrated experience successfully implementing change in complex organizations Demonstrated relationship management skills; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously. Education Bachelor’s Degree or equivalent experience Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,300.00 - $159,120.00 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. 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: 02/14/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.

Responsibilities

The role involves delivering configuration for post-enrollment, file extract, and reporting Stories within an Agile framework. It also includes conducting impact analysis of configuration changes and developing project deliverables.