Lead Director – Admission Prevention, Clinical Program Design & Enablement

Job not on LinkedIn

🕒 August 10

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $100k - $231.5k / year

⏰ Full Time

🟠 Senior

👔 Director

👻 Ghost score 23%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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

• 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

🎯 Requirements

• 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)

🏖️ Benefits

• 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