AMVETS Jobs

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The Lead Director, VBC (Value Based Care) Performance collaborates with the Executive Medical Director (VBC Clinical & Other Programs), VP, CMO Aetna Medicare and business leads across Medicare Medical Affairs, Value Based Care Center of Excellence and across the enterprise to achieve organizational goals for the Medicare Medical Ops business unit. Completes best in class data analysis and develops tools to assist with progress and performance management for the area. Leads and oversees implementation of large multifaceted projects addressing CMS mandates such as the Continuation of Care Form (CCF) and the Medicare Diabetes Prevention Program (MDPP)

The Lead Director, VBC Performance acts independently to address issues, guide direction, and provide analysis for performance management and planning initiatives. This leadership role will include evaluation of business challenges with providers, identifying and seizing new opportunities, prioritizing critical issues, securing executive level buy-in, implementing change, and generating demonstrable impact. In addition, this Lead Director will facilitate efforts to develop clinical strategies and implement new innovative projects to help drive performance. They will also ensure compliance with assigned CMS mandates.

Primary Job Duties & Responsibilities

The Lead Director works across the Aetna and CVS enterprise in a highly collaborative partnership with multiple business units to drive better

VBC and other clinical outcomes and cost-savings initiatives. The Lead Director is responsible for identifying opportunities, driving execution and monitoring performance to achieve desired outcomes.

Responsibilities

• Lead and manage multifaceted strategic projects and programs, such as, MDPP, CCF and Scorable Action Items, ensuring the end state of the project meets business objectives, agreed upon metrics and outlines deliverables with due dates.

• Advise leadership on project status, risks and recommended actions to support informed decisions.

• Lead implementation of assigned CMS mandates.

• Ensure CMS compliance and adherence to quality standards.

• Develop strategies to manage and monitor project performance for the Medicare Med Affairs team.

• Drives evaluation of performance and related impact including identifying lessons learned and implementing best practices.

• Engage with Medicare VBC Clinical, Value-Based Care Center of Excellence, Duals, CM MDs, Medicare Group, and Population Health to identify improvement opportunities.

• Develop analyses, presentations and other reporting materials to successfully implement performance monitoring and improvement initiatives and socialize work to stakeholders.

• Navigate a highly matrixed, collaborative work environment to meet goals. Skilled at developing positive interpersonal relationships with stakeholders across the enterprise to facilitate effective collaboration.

• Proactively identify and take action to solve management and business problems.

• Ensure consistent, efficient, and cost effective processes, procedures, and appropriate accountability.

Required Qualifications

• Data analytics skills

• Adept at execution and delivery (planning, delivering, and supporting) skills

• Adept at business intelligence software (PowerBI, Tableau, Visio, etc.) and Microsoft Office Suite (PowerPoint, Excel, Word, Outlook)

• Adept at collaboration and teamwork

• Mastery of problem solving and decision making skills

• Mastery of growth mindset (agility and developing yourself and others) skills

• 10+ years work experience

Preferred Qualifications

• Experience with Value Based Care highly preferred

• Project management experience/certifications

• Healthcare experience

• Experience in highly matrixed organization

• Supervisory experience

Education

Bachelor's degree required.

Preferred Master’s Degree in related area (MBA, MHA, MPH, etc.) or equivalent work experience in the managed care environment.

Pay Range

The typical pay range for this role is:

$100,000.00 - $231,540.00

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 05/02/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.