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 Manager, Business Consultant provides subject matter expertise, analytical support, and delivery enablement for Medicaid Provider Directory operations. This role partners across business, IT, and compliance teams to translate regulatory, operational, and platform requirements into actionable outcomes.
The position supports data integrity, compliance readiness, delivery quality, and overall operational stability through proactive risk identification and resolution.
Key Responsibilities:
Platform SME & Analysis
- Serve as subject matter expert for Provider Directory platforms (e.g., QNXT, WPS, print directories)
- Analyze platform functionality and data to support business and technical decision-making
- Conduct gap analyses and assess impacts of regulatory or policy changes
- Perform data research and support internal and external inquiries
- Support audit readiness and regulatory review activities
Intake & Delivery Enablement
- Partner with stakeholders to intake, clarify, and refine requirements
- Translate regulatory and operational needs into clear delivery inputs
- Support requirements documentation, validation, and scoping
- Collaborate with Product Owners, BAs, and IT teams to ensure delivery readiness
- Participate in Agile ceremonies (grooming, prioritization, etc.) as a directory SME
Testing & Quality Support
- Define test scenarios and expected outcomes for directory changes
- Support UAT preparation, including data setup and validation
- Perform or support production validation and release checks
- Identify and coordinate resolution of defects, risks, and data quality issues
Cross-Functional Collaboration
- Partner across Network, IT, Compliance, and Operations teams
- Provide guidance on directory impacts of enterprise initiatives
- Support leadership with analysis and decision support
Required Qualifications
- 5–7 years of relevant experience
- Ability to translate business needs into technical requirements and solutions
- Experience interpreting regulatory requirements and assessing operational impact
- Experience across requirements gathering, analysis, testing, and implementation
- Strong analytical and problem-solving skills
- Experience working in Agile environments
- Strong written, verbal, and facilitation skills, including presenting to varied audiences
- Advanced Excel and data analysis skills
- Experience with healthcare data, directory systems, or similar platforms
Preferred Qualifications
- Medicaid provider directory or managed care experience
- Experience with QNXT, WPS, or print directory operations
- Background in compliance, audit, or regulatory analysis
- Experience supporting large-scale implementations or operational programs
Education
Bachelor's degree preferred/specialized training/relevant professional qualification.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$66,330.00 - $145,860.00
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 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 package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 06/06/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.