Lead Director, Provider Performance Mgt
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 Lead Director, Provider Performance collaborates with the Med Affairs Network team to ensure it is data-driven and following through on its commitments. The role is a key enabler of the Med Affairs network team, working with partner analytics functions to measure and improve performance of the team and its network provider partners on outcomes that matter, including med cost, quality, and experience across all lines of business and regions. For new initiatives driven by the team, this role will help track, facilitate, and find cross-functional opportunities. Key partners will be the medical economics unit, network performance team, value-based contracting team, and analytics and behavior change team as the team seeks to drive best in class data analysis and develop tools to assist with progress and performance management for the area.
The Lead Director, Provider 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.
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, 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.
Develop strategies to manage and monitor project performance for the Network Med Affairs team.
Drives evaluation of performance and related impact including identifying lessons learned and implementing best practices.
Engage with cross-functional teams 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, 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
Healthcare experience including value based care and managed care for 3+ years
People Leadership Experience
Preferred Qualifications:
Project management experience/certifications
Healthcare experience including value based care and managed care for 3+ years
Experience in highly matrixed organization
Education:
Bachelor's degree required.
Preferred Qualifications: 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.