Lead Director – Admission Prevention, Clinical Program Design & Enablement

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🕒 il y a 1 mois

🌽 Illinois – Distant

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💵 $100 000 - $231 540 / an

⏰ Temps Plein

🟠 Senior

👔 Directeur

👻 Score fantôme 23%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of CVS Health

CVS Health

10 000+ employés

Fondée en 1963

🏥 Santé

⚕️ Assurance santé

🛒 Commerce de détail

Healthcare • Healthcare Insurance • Retail

CVS Health est une entreprise américaine de premier plan dans le domaine de la santé, dédiée à l'amélioration de l'accès et de l'accessibilité financière des soins de santé. L'entreprise s'appuie sur une approche globale qui comprend les services de santé, l'assurance santé et la gestion des prestations pharmaceutiques. À travers ses filiales, telles qu'Aetna et CVS Caremark, CVS Health propose une gamme de services qui favorisent le bien-être, la gestion des maladies chroniques et une couverture abordable des médicaments prescrits. CVS Health exploite des pharmacies de proximité, fournit des services de pharmacie par correspondance et gère des programmes de médicaments spécialisés, visant à rendre les soins de santé pratiques et accessibles à tous. Animée par une mission de connecter les individus aux services de soins essentiels, CVS Health s'engage à favoriser des communautés en meilleure santé et à soutenir le bien-être de toutes les personnes.

Description

• Define clinical program requirements, workflow intent, and success criteria for complex care coordination programs • Serve as the connection between clinical leadership needs and system capabilities • Partner with care management, acute escalations, supportive care, Informatics, Product, Engineering, Analytics, and operational teams • Own clinical requirements for initiatives designed to keep patients healthy and out of the hospital • Develop prioritized clinical requirements and use cases for Epic and non-Epic technology roadmaps • Translate clinical program logic and workflows, including clinical assessments, MLR thresholds, and SDOH screeners, into actionable technical requirements • Lead the clinical-operations side of complex, multi-team launches • Validate delivered features through clinical acceptance and UAT • Surface issues with technical partners and ensure launch details are addressed • Develop scalable frameworks for measuring program success across programs and stakeholders • Translate plain-language metrics into specifications for technology and data science teams • Monitor program performance data, flag anomalies, and partner with Analytics to resolve issues • Represent Population Health in cross-functional forums and advise field leadership and technical teams • Lead, develop, and retain a high-performing team • Prepare executive-ready briefings, strategy documents, and presentation content • Identify gaps between strategic priorities and current-state capabilities and recommend paths forward

🎯 Exigences

• 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 instincts and ability to identify anomalies and escalate appropriately • People leadership experience developing early-career talent • High bias toward action and ability to thrive in ambiguity • Ability to flag risks clearly and early, including to senior leadership • Bachelor's degree required • Graduate degree preferred but not required (MBA, MPH)

🏖️ Avantages

• 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 • Leadership development opportunities • Continuing education stipends • New centers and flexible work environments • Opportunities for high levels of responsibility and rapid advancement • Medical, dental, and vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility • CVS Health bonus, commission or short-term incentive program • Company equity award program eligibility

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