National Accounts Lead Director, Clinical Program Consultant

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🌵 Arizona, Connecticut, +3 more states – Remote

🌵 Arizona – Remote 🦌 Connecticut – Remote 🌽 Illinois – Remote 🍂 Massachusetts – Remote 🤠 Texas – Remote

💵 $100k - $231.5k / year

⏰ Full Time

🟠 Senior

👨‍⚕️ Medical Director

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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

• The Lead Director will lead a team of approximately 7-8 Clinical Program Consultants • Provide day-to-day oversight of the customer-facing work that the team of Clinical Program Consultants provide • Set priorities for that work, ensuring that appropriate resources are aligned to the needs of our Field partners and their customers • Effectively collaborate with Field leaders, making certain to understand their business retention and growth objectives and how the work of the CPCs can best support those objectives • Provide coaching and development to ensure that each team member is maximizing their potential • As needed, work directly with customers in a strategic advisory role. • Collaborates with Aetna National Accounts Field Sales and Service staff to identify customers who may best benefit from Aetna’s medical, dental, pharmacy, behavioral health, and disability clinical management programs • Proactively evaluates and analyzes medical, pharmacy, behavioral health, and disability trend drivers and proposes clinical programs and/or improvements to effectively manage these trends for their book of business • In collaboration with existing Aetna account teams, consults with clients on trends identified within their employee base and works to tailor the most effective cost management strategy possible • Seeks to maximize clinical and financial outcomes for customers from the clinical programs and/or improvements recommended • Identifies and helps rectify clinical program gaps at customers who are utilizing Aetna clinical management programs to ensure best in class clinical management of members • Manages to completion a variety of ever-changing projects and priorities during the course of the year; effectively mitigates negative outcomes that may arise due the ever changing dynamics of the market and competitive landscape • Serves as a key resource on all clinical programs to all Aetna National Accounts • Evaluate performance through regular, timely feedback to ensure delivery of exceptional services and engagement, motivation and team development

🎯 Requirements

• 7+ years experience in healthcare industry, well-being, healthcare consulting, client reporting and analytics, clinical operations and business management. • Minimum 7+ years of diverse clinical and well-being experience. • Ability to lead and collaborate across teams. • Prior experience managing and/or leading teams. • Un-restricted RN/ LCSW license

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility