Jobs / United States / CVS Pharmacy INC
Senior Manager Medical Policy & Program Solutions MPPS
CVS Pharmacy INC · 🇺🇸 FL - Work from home
Sponsorship verdict
Sponsorship possible
One solid signal, not two — worth applying, and worth asking about sponsorship early.
- Employer is on a government sponsor recordThe US Department of Labor certified 191 H-1B/E-3 labor condition applications for this employer between Oct 2025 and Jun 2026 (latest Jun 2026) — the step every H-1B hire needs first. USCIS also records 217 H-1B approvals in FY2023. Source: LCA disclosure data (US Department of Labor (OFLC)).
- The posting doesn’t mention sponsorshipSilence isn’t a refusal — ask the recruiter before investing much time.
- No salary bar for this routeH-1B has no fixed salary bar: the employer must pay at least the prevailing wage for the role and area. Cap-subject employers enter a lottery weighted by wage level. Source: https://www.federalregister.gov/documents/2025/12/29/2025-23853/weighted-selection-process-for-registrants-and-petitioners-seeking-to-file-cap-subject-h-1b, rules effective 2026-02-27.
- What CVS Pharmacy INC paid sponsored hires in similar roles3 certified filings for “Manager, Data Engineer” (Data Scientists) in GA: $110k–$162k, median $110k. Most were filed at wage level II (67%) — 2 lottery entries, ≈31% projected selection odds for cap-subject employers. Source: US Department of Labor LCA disclosure data (Oct 2025 – Jun 2026).
- Confirmed live todayWhen a source last listed this job as open.
US H-1B: cap-subject employers enter a lottery weighted by wage level — Level I gets 1 entry, Level IV gets 4 (DHS projected selection odds ≈15% at Level I to ≈61% at Level IV). Universities and non-profit research employers are cap-exempt. The $100,000 fee for new petitions from abroad is currently blocked by a court order (appeal pending).
A verdict summarises public evidence; it is not legal advice and never a guarantee — the employer and the immigration authority decide. Sign in to factor in where you can already work.
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Sponsor Radar — CVS Pharmacy INC
The US Department of Labor certified 191 H-1B/E-3 labor condition applications for this employer between Oct 2025 and Jun 2026 (latest Jun 2026) — the step every H-1B hire needs first. USCIS also records 217 H-1B approvals in FY2023. Source: LCA disclosure data (US Department of Labor (OFLC)).
Past sponsorship or register membership never guarantees sponsorship for this vacancy or for you. Full Sponsor Radar for CVS Pharmacy INC →
About the role
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. The Senior Manager, Medical Policy & Program Solutions (MPPS) Experience Optimization leads data-driven strategies to improve medical and payment policy effectiveness and the provider experience. This role leverages claims, appeals, coding, reimbursement, provider experience, and operational insights to identify optimization opportunities, translate findings into actionable recommendations, and lead cross-functional initiatives that reduce unnecessary administrative burden and drive measurable improvement. Policy and Experience Optimization • Develop and execute strategies to identify, evaluate, prioritize, and advance medical and payment policy optimization opportunities. • Leverage claims, appeals, coding, reimbursement, provider, and operational data to identify trends, friction points, and opportunities for improvement. • Evaluate and modernize policies to improve clarity, consistency, effectiveness, and applicability across the claims lifecycle, including both pre-payment and post-payment use. • Develop evidence-based recommendations that balance policy intent, clinical and coding standards, provider experience, compliance, and business impact. • Establish consistent approaches and performance measures to advance optimization opportunities from analysis through implementation and measurement. Experience Optimization Program Leadership • Provide strategic leadership for experience optimization programs and maintain a prioritized portfolio of opportunities aligned with enterprise objectives. • Develop proactive, data-driven approaches to identify emerging and systemic opportunities for policy and process improvement. • Establish effective intake, prioritization, governance, and decision-making practices for optimization initiatives. • Partner with analytics and technology teams to develop reporting and insights that strengthen visibility into policy performance and outcomes. • Establish success measures, evaluate results, and translate recurring trends into broader improvement strategies. Cross-Functional and Strategic Leadership • Partner across medical policy, clinical, coding, payment integrity, claims, appeals, provider, compliance, operations, analytics, technology, and other key functions. • Lead cross-functional evaluation of complex policy opportunities and translate findings into clear recommendations, risks, tradeoffs, and expected outcomes. • Influence senior leaders and stakeholders across a matrixed organization to advance policy optimization decisions and initiatives. • Establish effective partnerships and handoffs across policy development, remediation, configuration, implementation, and operational teams. • Promote data-driven decision-making and continuous improvement while providing leadership, coaching, and development to team members. Required Qualifications • 5+ years of experience in healthcare, medical or payment policy, payment integrity, coding, claims, appeals, healthcare analytics, provider experience, or related healthcare functions. • Supervisory or formal people-leadership experience required. • Demonstrated experience using multiple data sources to identify trends, performance gaps, and optimization opportunities and translate findings into actionable recommendations. • Strong knowledge of healthcare reimbursement, claims processing, me