Lead Director – Admission Prevention, Clinical Program Design & Enablement

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🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $100k - $231.5k / year

⏰ Full Time

🟠 Senior

👔 Director

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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 • Partner with program owners across care management, acute escalations, supportive care, and other programs • Shape requirements and evaluate Epic and non-Epic solutions • Document workflows and define program success measures • Partner with Informatics and Product from design through go-live and ongoing optimization • Develop prioritized clinical requirements and use cases for technology roadmaps • Translate clinical program logic and workflows into actionable technical requirements • Drive the clinical-operations workstream of complex, multi-team launches • Validate delivered features through clinical acceptance and UAT • Develop scalable frameworks for measuring program success • Translate plain-language metrics into specifications for technology and data science teams • Monitor performance data, flag anomalies, and partner with Analytics to resolve issues • Represent Population Health in cross-functional forums • Lead, develop, and retain a high-performing team • Prepare executive-ready briefings, strategy documents, and slide content • Identify capability gaps and surface risks with recommended 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 ability to identify data issues and determine escalation paths • People leadership experience developing early-career talent • High bias toward action and comfort with ambiguity • Ability to flag risks clearly and early to senior leadership • Bachelor's degree required

🏖️ 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 • Opportunities for leadership development • Continuing education stipends • New centers and flexible work environments • Opportunities for high levels of responsibility and rapid advancement • CVS Health bonus, commission or short-term incentive program • Award target in the company’s equity award program • Medical, dental, and vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting the physical, emotional, and financial well-being of colleagues and their families