Manager, Business Consultant - Federal Accounts

A Brief Overview This role supports the Federal Employees Health Benefits Program (FEHBP) and Postal Service Health Benefits (PSHB) programs by leading and resolving complex projects, issues, and data analyses. The role partners closely with internal and external stakeholders to deliver client focused solutions, support profitable growth, ensure regulatory compliance, and maintain the overall effectiveness, competitiveness, and compliance of the self insured federal plans.

Key Responsibilities

• Manage complex projects that advance the goals of self-insured federal plans, driving improvements in plan performance, operational effectiveness, and compliance.
• Collaborate with internal and external stakeholders, including clients, senior management, and cross-functional teams, to ensure alignment of strategic objectives and support key business priorities.
• Manage procurement activities for the team, including contract administration, vendor coordination, and invoice reconciliation to ensure accuracy, compliance, and timely processing.
• Manage the annual LM 10 reporting process, ensuring accurate identification, tracking, and submission of all reportable employer-union transactions in compliance with Department of Labor requirements.
• Manage network reporting for self insured federal health plans, including monitoring performance, developing and presenting client-facing insights, coordinating reporting and data validation, and resolving escalated network provider issues.
• Support the annual prescription drug audit process, ensuring accurate validation of member coverage and compliance with plan requirements.
• Support the annual prescription drug audit process, ensuring accurate validation of member coverage and compliance with plan requirements.
• Manage assigned project activities independently, meeting timelines while proactively identifying and communicating risks that could impact milestones or outcomes.
• Support additional projects and initiatives as needed to meet business priorities.

Minimum Requirements

• 5+ years of health insurance experience
• 3+ years of Project Management experience within the healthcare industry.
• Strong problem-solving and decision-making skills, including the ability to assess risks and recommend effective solutions
• Strong organization and project planning and management skills.
• Proven ability to collaborate and work effectively within cross-functional teams
• Experience and advanced knowledge of MS Office Suite applications, including Excel with the ability to use Pivot Tables for reporting

Preferred Qualifications

Experience working with the Federal Employees Health Benefits (FEHB) Program. Education Bachelor's degree is preferred but not required; equivalent combination of education and relevant experience will be considered. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,300.00 - $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. 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: 06/30/2026 Apply tot his job Apply To this Job