Lead Director – Admission Prevention, Clinical Program Design & Enablement

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CVS Health

10.000+ funcionários

Fundada em 1963

🏥 Saúde

⚕️ Seguro de Saúde

🛒 Varejo

Healthcare • Healthcare Insurance • Retail

CVS Health é uma empresa líder de saúde nos Estados Unidos, dedicada a ampliar o acesso e a acessibilidade ao cuidado. A empresa adota uma abordagem abrangente que inclui serviços de saúde, seguro saúde e gestão de benefícios farmacêuticos (PBM). Por meio de suas subsidiárias, como Aetna e CVS Caremark, a CVS Health oferece uma variedade de serviços que promovem o bem-estar, a gestão de condições de saúde e a cobertura acessível de medicamentos prescritos. A CVS Health opera farmácias de bairro, oferece serviços de farmácia por correspondência e gerencia programas de medicamentos de especialidade, com o objetivo de tornar o cuidado com a saúde conveniente e acessível para todos. Movida pela missão de conectar pessoas a serviços essenciais de cuidado, a CVS Health está comprometida em fomentar comunidades mais saudáveis e apoiar o bem-estar de todas as pessoas.

Descrição

• Define clinical program requirements, workflow intent, and success criteria for complex care coordination programs • Partner with program owners across care management, acute escalations, supportive care, and other programs • Shape requirements and evaluate Epic and non-Epic solutions • Document workflows and define program success measures • Partner with Informatics and Product from design through go-live and ongoing optimization • Develop prioritized clinical requirements and use cases for technology roadmaps • Translate clinical program logic and workflows into actionable technical requirements • Drive the clinical-operations workstream of complex, multi-team launches • Validate delivered features through clinical acceptance and UAT • Develop scalable frameworks for measuring program success • Translate plain-language metrics into specifications for technology and data science teams • Monitor performance data, flag anomalies, and partner with Analytics to resolve issues • Represent Population Health in cross-functional forums • Lead, develop, and retain a high-performing team • Prepare executive-ready briefings, strategy documents, and slide content • Identify capability gaps and surface risks with recommended paths forward

🎯 Requisitos

• 10–15 years in healthcare program management, population health, or care delivery operations • Demonstrated ownership of complex, multi-stakeholder programs • Deep working fluency with EHR systems; Epic strongly preferred • Ability to translate clinical needs into feasible, buildable requirements and assess technical tradeoffs • Direct build/configuration experience is a plus, not a requirement • Ability to influence technical and build teams as a non-owning partner • Comfort with clinical program design logic and technical systems, including Epic, patient segmentation data, and data warehousing concepts • Exceptional written communication and ability to produce executive-level materials • Ability to drive clinical-operations workstreams of high-stakes go-lives across matrixed teams • Strong analytical ability to identify data issues and determine escalation paths • People leadership experience developing early-career talent • High bias toward action and comfort with ambiguity • Ability to flag risks clearly and early to senior leadership • Bachelor's degree required

🏖️ Benefícios

• Mission-focused career impacting change and measurably improving health outcomes for medicare patients • Paid vacation and sick time • Investment/retirement 401K match options • Health insurance, vision, and dental benefits • Opportunities for leadership development • Continuing education stipends • New centers and flexible work environments • Opportunities for high levels of responsibility and rapid advancement • CVS Health bonus, commission or short-term incentive program • Award target in the company’s equity award program • Medical, dental, and vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting the physical, emotional, and financial well-being of colleagues and their families

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