Senior Manager, Medicare Strategic Communications

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 We are seeking a strategic, data-driven Senior Manager to advise and support Medicare Advantage and Part D health plan clients on member experience and communications strategies, with a strong focus on improving Stars performance. This role sits at the intersection of quality (Stars), pharmacy, clinical programs, sales and member engagement, partnering with internal stakeholders and external clients to design and optimize communications that improve adherence, member experience and Stars outcomes.

The ideal candidate combines Medicare expertise, strong strategy development capabilities and experience leveraging advanced analytics and AI-enabled simulation tools to evaluate and improve member-facing messaging.

Key Responsibilities Client Strategy & Engagement Serve as a strategic advisor to PBM Medicare health plan clients on Stars improvement initiatives, with a focus on CAHPS, adherence and member experience

Partner with account teams and clients to align Stars strategy, benefit design and member communications

Deliver executive-level insights and recommendations through presentations and strategic engagements

Member Experience & Communications Strategy Design and optimize member-facing communications (e.g., onboarding, benefit changes, adherence outreach, formulary disruption, etc.) that are CMS compliant and behaviorally effective

Translate complex regulatory, clinical and pharmacy dynamics into clear, digestible language that resonates across segments (e.g., LIS, chronic patients, varying literacy levels) to reduce the operational friction inherent to Medicare and compel desired actions

Support development of multi-channel engagement strategies (mail, digital, call center, provider touchpoints)
AI-Enabled Simulation & Innovation Apply AI-enabled tools to optimize communications

Use simulation outputs to evaluate:

Member comprehension and confusion points

Emotional response and trust impact

Resulting action (e.g., call, complain, disengage)
Generate message refinements to reduce confusion and drive desired behavioral response

Analytics & Insight Development Leverage performance data, Stars reporting and client insights to identify:

Gaps in communication effectiveness

Confusion drivers and abrasion points

Opportunities to improve adherence and CAHPS outcomes

Translate data into clear narratives and executive-ready recommendations

Support development of test-and-learn frameworks (e.g., A/B testing, scenario modeling)
Cross-Functional Leadership Help drive alignment across stakeholders to ensure integrated Stars strategy execution across:

Sales / account teams

Quality/Stars program management

Pharmacy & clinical programs

Analytics & data science teams

Thought Leadership & Capability Building Contribute to development of Stars value story, client-facing materials and innovation use cases

Support pilot programs and new capabilities in AI-driven engagement and communication optimization

Educate clients and internal teams on emerging trends in member experience and communication strategy

Required Qualifications 7+ years of experience in healthcare marketing communications

Demonstrated experience in developing and executing communication strategies

Preferred Qualifications Strong understanding of Part D benefit design and formulary dynamics, Medicare Stars program and CMS member communication requirements and guidelines

Experience working directly with health plan and other senior executives

Exceptional storytelling and presentation skills

Education

Bachelor's degree or relevant experience

Pay Range The typical pay range for this role is:$67,900.00 - $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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits…