Lead Director, Business Performance – Medicaid

Emploi pas sur LinkedIn

🕒 il y a 4 jours

🌽 Illinois – Distant

🌽 Illinois – Remote

💵 $100 000 - $231 540 / an

⏰ Temps Plein

🟠 Senior

👔 Directeur

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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CVS Health

Site WebLinkedInTous les Emplois

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

• Lead development, implementation, and oversight of reporting solutions supporting strategic Medicaid programs and state-directed initiatives • Translate complex business objectives into actionable analytics, dashboards, and executive reporting • Identify opportunities to improve program performance through data-driven insights and operational recommendations • Advise executive leadership on program outcomes, emerging risks, and performance trends • Establish governance and reporting structures for state-sponsored Medicaid initiatives, financial performance and ROI, provider partnerships, community-based organization engagement, and vendor performance • Develop executive-level scorecards, KPIs, dashboards, and performance monitoring frameworks • Analyze claims, encounter, utilization, quality, and financial data • Partner with provider organizations, value-based care partners, and community-based organizations to evaluate effectiveness and outcomes • Support innovative partnerships addressing health-related social needs • Monitor partnership performance and recommend corrective actions or expansion opportunities • Establish vendor cohorts and performance segmentation strategies • Develop methodologies evaluating vendors against operational, financial, quality, and member outcome metrics • Drive accountability through performance reviews and improvement plans • Lead, mentor, and develop Senior Managers and business consultants • Build relationships with executives and senior leaders across matrixed organizations • Present results, insights, recommendations, and strategic analyses to senior leadership • Navigate complex organizational structures and lead large-scale cross-functional initiatives • Align program goals with corporate objectives, state requirements, and member needs

🎯 Exigences

• 8+ years of progressive leadership experience in healthcare, managed care, consulting, analytics, or business strategy • 5+ years leading high-performing teams and people leaders • Significant experience within Medicaid managed care organizations, state Medicaid programs, or healthcare consulting environments • Demonstrated experience working with healthcare claims and encounter data to drive strategic decision-making • Experience developing executive-level reporting and performance management frameworks • Proven success managing cross-functional initiatives involving multiple stakeholders and business units • Bachelor's degree or equivalent work experience • Preferred: experience supporting state Medicaid contracts, quality improvement initiatives, or value-based care programs • Preferred: experience working with provider organizations, community-based organizations, and external vendors • Preferred: knowledge of social determinants of health and community partnership strategies • Preferred: experience with vendor oversight and outcome-based performance measurement • Preferred: familiarity with Medicaid quality measures, regulatory requirements, and healthcare reimbursement methodologies • Preferred: experience in a highly matrixed healthcare organization

🏖️ Avantages

• CVS Health bonus, commission or short-term incentive program • Equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being