Lead Director – Clinical Vendor Performance Management

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🔥 41 minutes ago

🦀 Maryland – Remote

🦀 Maryland – Remote

💵 $100k - $231.5k / year

⏰ Full Time

🟠 Senior

👨‍⚕️ Medical Director

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Build and continuously evolve the end-to-end performance management framework for a defined portfolio of clinical vendors, including KPIs, SLAs, scorecards, performance review cadences, and escalation pathways • Own performance accountability for an assigned portfolio of clinical vendors • Lead joint business reviews, identify performance gaps, drive corrective action plans, and partner with Contracting on remediation, renegotiation, or off-boarding decisions • Surface insights that inform build-vs-buy decisions and align with the enterprise capability roadmap • Serve as a strategic partner to business stakeholders • Translate performance data into executive-ready narratives that drive decisions; deliver monthly performance summaries to Aetna leadership and quarterly readouts to senior executive stakeholders • Own the savings tracking and narrative for clinical vendor cost rationalization initiatives, including progress-to-target reporting, variance analysis, and risk identification

🎯 Requirements

• Preferred 7 + years of managed care, vendor management, value-based care, healthcare operations, or healthcare strategy experience • Demonstrated executive presence and proven ability to present complex evaluations and recommendations directly to senior leadership (VP / SVP / market president level) • Track record of representing a function or recommendation in cross-functional forums where stakeholders may disagree or push back; comfort defending a position with data while remaining collaborative preferred • Experience with clinical vendor or value partner performance management, governance, or oversight preferred • Experience partnering with actuarial or analytics teams on ROI methodology, pre/post evaluation, and cohort-matched studies preferred • Familiarity with Medicare, Commercial, and Medicaid product lines and the political dynamics across business units preferred.

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility