Manager, Medicare Business Consulting

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.

We are looking for a motivated Manager, Medicare Business Consulting to join our Sales Enablement team. This role is ideal for someone with knowledge of the Medicare space; a genuine interest in technology and wants to grow into a well-rounded Business Analyst. You will work closely with business stakeholders to gather and document requirements, create Business Requirements Documents (BRDs), and collaborate with the IT team to detail and prioritize work based on effort and business needs.

This is a cross-functional role that involves coordinating with departments such as Sales, Operations, Compliance, Marketing, and Technology as well as providing great exposure and learning opportunities across the organization.

• Work with business stakeholders across departments to gather, clarify, and document business requirements.

• Create Business Requirements Documents (BRDs) that capture functional and regulatory needs in a clear, organized format.

• Maintain a requirements repository to track and manage documented requirements.

• Participate in stakeholder meetings, interviews, and workshops to understand business needs.

• Create supporting artifacts such as process flow diagrams, user stories, and basic wireframes under guidance from senior team members.

• Collaborate with the IT / Engineering team to translate business requirements into detailed functional specifications.

• Attend Actively participate in solution design discussions to understand technical approaches and ensure alignment with business intent.

• Define acceptance criteria and creating basic test scenarios to validate delivered solutions.

• Support requirement walkthrough sessions with both business and technology teams.

• Serve as a point of contact between business users and IT for assigned projects and work streams.

• Work with your manager and business leadership to prioritize requirements based on business value and implementation effort.

• Maintain a prioritized requirements backlog and support the use of simple prioritization techniques (e.g., high/medium/low, value-vs-effort matrix).

• Prepare effort-impact summaries and status updates for leadership review.

• Participate in sprint planning and backlog grooming sessions alongside the IT team.

• Coordinate with teams across Sales, Operations, Compliance, Marketing, and IT to gather inputs and align on requirements.

• Build positive working relationships with stakeholders across departments.

• Track dependencies, action items, and follow-ups across cross-functional work streams.

• Communicate updates, meeting notes, and requirement statuses to relevant stakeholders.

• Escalate conflicts or blockers to your manager in a timely manner.

• Apply foundational knowledge of Medicare (Medicare Advantage, Medicare Supplement, Part
  
  D) to understand business context and requirements.

• Learn and develop a growing understanding of CMS regulations, compliance requirements, and industry trends relevant to the Medicare market.

• Ensure documented requirements reflect basic compliance and regulatory considerations with guidance from senior team members and compliance stakeholders.

• 1–3 years of experience in a Business Analyst, Business Operations, or similar analytical role.

• 1+ year of exposure to or experience in the Medicare / health insurance space (Medicare Advantage, Medicare Supplement, Part D, or related products).

• Knowledge of the Medicare enrollment lifecycle — including lead management, sales processes, and compliance concepts (SOA, CMS marketing guidelines).

• Experience writing or contributing to…