Lead Director – Interoperability Governance and Communications

Job not on LinkedIn

🔥 16 hours ago

🦌 Connecticut – Remote

🦌 Connecticut – Remote

💵 $100k - $231.5k / year

⏰ Full Time

🟠 Senior

🎲 Risk

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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

• Leads enterprise data governance, privacy, and risk management efforts to ensure the compliant, secure, and responsible use of data across all lines of business, including Commercial, Medicare, and Medicaid. • Establishes and operationalizes governance frameworks, decision protocols, standards, and controls that promote data quality, transparency, accountability, and appropriate use of sensitive health information. • Partners closely with Legal, Compliance, Security, Informatics, and business leaders to translate regulatory requirements, contractual obligations, and enterprise policies into practical governance processes and risk-based controls. • Responsible for identifying, assessing, and mitigating risks across data sharing, access, lineage, downstream use, and third-party relationships, while enabling audit-defensible decision-making and scalable governance practices aligned with business objectives and regulatory expectations, including HIPAA, CMS mandates, and state privacy requirements. • Expected to lead the communication strategy across varied audiences and organizational levels, and to drive outcomes through highly polished, structured program management disciplines.

🎯 Requirements

• 10+ years of experience in healthcare, data governance, privacy, risk management, or a related field • Deep knowledge of healthcare regulations, including HIPAA, CMS requirements, and state privacy laws • Experience with data governance frameworks, data lineage, metadata management, and stewardship practices • Strong understanding of payer operations, including claims, utilization management, risk adjustment, and STARS • Expertise in risk identification, assessment, mitigation planning, control design, and reporting • Ability to translate legal and regulatory requirements into operational and technical processes • Strong stakeholder management, executive communication, and cross-functional collaboration skills • Ability to influence leaders and drive alignment across functions and throughout the enterprise • Experience defining and operationalizing risk mitigation strategies and governance solutions • Demonstrated ability to develop and execute audience-specific communication strategies across operational, management, and executive levels of an organization • Proven experience crafting polished executive briefings, board materials, and governance communications that make complex topics accessible and decision-ready • Strong program management skills, including experience driving structured programs with defined milestones, RACI accountability, risk management, and executive-level status reporting

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • comprehensive benefits package designed to support the physical, emotional, and financial well-being