Lead Director, Medicare Initiatives - New York / New ...
CVS Pharmacy - New York City, NY
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Job DescriptionThis is a remote position.Supports the business by recommending appropriate actions, strategies and/or alternatives to meet business needs. Has responsibility for leading/managing all aspects of a project and or program such as planning, coordination, development, implementation including the financial implications while prioritizing work, resources and time. Ensures the end state of the project and/or business operations meets business objective(s) and that all deliverables and due dates are met. Highly collaborative process often requires managing relationships across the segments or multiple functional areas. Accountable for leveraging local and corporate market and Medicare assets and overall company resources to drive cross-functional initiatives to meet the NY/NJ Strategic and Operating Plans for both Medicare individual and group plans. Provide market and competitive information, support, specialist resources, documentation, analysis needed to support the attainment of local and enterprise Medicare business objectives. Support development and improvement of NY Medicare customer experience, competitive position, corporate support/knowledge of NY Medicare strategy, sales and operations. Works closely with market based teams and corporate teams to ensure effective and efficient initiative management and results. Become a trusted advisor and key resource for NY/NJ Medicare related issues for Medicare corporate teams and local markets.tProactively leads a program and/or most complex projects by setting strategic direction and leading executiontStimulates strategic thinking in support of business direction tIndependently manages all project and/or program management work including monitoring and tracking of progress and status update communications, such as rolling out new programs/ strategy to geographic area of responsibility tLeverages deep quantitative and qualitative data to ensure that strategy and decisions are powered by comprehensive and robust strategic analysistDevelops executive level analyses and presentation materialstRepresents Medicare externally to key value based partners to optimize assigned relationship tSupports relationships with local and enterprise leaders and contacts tOrganizes, leads and facilitates discussions to engage key players required to help local markets develop and execute their value-based strategiestHelps develop and drive territory and market-specific Medicare strategies and initiatives that lead to increasingly strong sales, quality and financial performancetCollaborates with Aetna's market leadership and senior executives to develop business case and gain internal approvalstWorks collaboratively with health plans, territories, and business segments on Medicare network related activities such as service area expansions, adequacy, compliance, auditstCommunicates in a candid, transparent and persuasive manner, seeking others' input and adjusting approach based on audience and the needtLeads NY Medicare work team meetings and ensures effective follow up and closure on work items; manages overall NY Medicare workplan initiatives and documentationtDrives NY Medicare initiatives using proven project management principles: sales, medical cost initiatives, customer retention, compliance, new vendor and quality initiatives.Pay RangeThe typical pay range for this role is:Minimum: 100,000Maximum: 221,000Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualificationst10+ years' experience and technical/functional expertise, with advanced knowledge in one or more of the following at a managed care or provider organization:otManaged Care OperationsotMedicare AdvantageotNetwork operationsotMarketing/SalesotFinancetProven project management skillstProven track record of meeting project milestones and negotiating for resourcestDemonstrated relationship management skills at a senior level and with external constituentstExperience developing executive level presentation materialstStrong analytical skillsCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications3+ years' experience in Medicare Stars preferredEducationtBachelor's degree requiredtMaster's degree is a plustProject Management certification and/or process improvement certification is a plusBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Created: 2024-09-07