Lead Director Quality Management

CVS Health

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Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health.

This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

This role is responsible for leading the delivery of Aetna quality and compliance efforts, cross-functional reporting, and cultural transformation.

The Lead Director will be a critical leader in Service Excellence, serving as a HEDIS subject matter expert and responsible for driving strategic initiatives, managing operational planning and reporting, and successfully delivering strategic projects across the Service Excellence organization.

Serve as a subject matter expert on HEDIS processes, particularly with respect to reporting requirements, quality measures, technical specifications, and interoperability standards (among others) to support and implement digital HEDIS roadmap.

Leads the implementation and execution of Digital HEDIS initiatives as well as other strategic initiatives within Health Care Quality Management to support business, regulatory and accreditation requirements.

Supports the development, implementation, and measurement (metrics) of Service Excellence priorities and initiatives across functions, ensuring alignment with department and enterprise strategy.

Provides support for capacity planning, staffing models and budget planning.

Collaborates with leadership throughout the organization to develop and implement program strategies that meet business, regulatory and accreditation requirements.

Manages complex analytical projects through data exploration, model building, evaluation and testing.

Assesses reports to identify trends, gaps, and operational improvement opportunities.

Summarizes findings through comprehensive strategic thinking and application of root cause analysis.

Collaborates with finance and leads to identify, track, and report on budget performance, including identification and delivery of targeted savings opportunities.

Works independently on strategic direction and provides program management support on aspects such as planning, coordination, development, implementation including the financial implications while prioritizing work, resources, and time.

Ensures the end state of the project and / or business operations meets business objective(s) and that all deliverables and due dates are met

Required Qualifications :

5 years of experience working in healthcare organizations

5 years years of strategy analysis experience

10 years of demonstrated leadership experience(leading work stream and managing critical deliverables)

5 years of strong analytical experience

5 years minimal of HEDIS / STARS experience

Excellent verbal and written communication skills demonstrated ability to coordinate multiple projects simultaneously

Education :

Bachelor's degree or equivalent experience. Master's degree preferred

Pay Range

The typical pay range for this role is :

$100,000.00 - $231,500.00

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.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.

The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.

The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits.

CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.

As for time off, Company employees enjoy Paid Time Off ('PTO') or vacation pay, as well as paid holidays throughout the calendar year.

Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.CVSHealth.com / benefits

We anticipate the application window for this opening will close on : 05 / 31 / 2024