Lead Director, VBC Enablement
CVS Health
Atlanta, GAPosted over 1 year agoDiscoveredMatch locked
10+ years expData and Analytics
About the role
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
At Aetna, our health benefits business, we are committed to helping our members achieve their best health in an affordable, convenient, and comprehensive manner. Combining the assets of our health insurance products and services with CVS Health's unrivaled presence in local communities and their pharmacy benefits management capabilities, we're joining members on their path to better health and transforming the health care landscape in new and exciting ways every day. Aetna is recruiting for a Lead Director, Value-Based Care (VBC) Enablement, who will develop strategies and supports to enable Aetna's Medicaid VBC performance and execution across local health plans. • Applying highly-developed knowledge to advise on VBC contracting and provider performance strategies that support the development and implementation of strategic, value-based contract relationships.
- Identifying and prioritizing Aetna's Medicaid managed care plans' needs, including synthesis of information from key stakeholders to inform action plans.
- Conducting market gap analyses to inform a comprehensive strategy for VBC model implementation and development.
- Analyzing performance and efficiency, identifying areas for improvement, and implementing improvement initiatives to align contracting and performance management efforts across health plans, including development of frameworks and standard processes.
- Communicating succinct, actionable insights for team members on relevant industry and policy updates.
- Assessing data analytics and reporting needs to drive market strategy and performance improvement.
- Communications and thought leadership, including content development and management.
- Interfacing with internal teams, including health plan leadership, regional network VBC leadership, VBC operations, and VBC analytics to align company performance goals and objectives.
- Building and maintaining strong relationships with key stakeholders, fostering open communication channels, and addressing any concerns or issues that arise.
- Collaborating with other departments to align VBC strategies with overall business objectives, including sharing insights, coordinating efforts, and driving cross-functional initiatives.
- Providing continuous recommendations to senior leadership to guide decision-making and ensure close alignment with the organization's strategic goals and objectives.
Required Qualifications
- A minimum of 10 years in the healthcare industry.
- Familiarity with Value-Based Care across lines of business, including Medicaid.
- Adept at execution and delivery (planning, delivering, and supporting) skills.
- Adept at problem solving and decision making skills.
- Adept at collaboration and teamwork.
- Mastery of growth mindset (agility and developing yourself and others) skills.
- Adept at business intelligence.
- Experience working in a highly matrixed environment .
Preferred Qualifications
- A minimum of 5 years of value-based care experience.
- Experience as a healthcare consultant would be a strong preference.
•
Education
- Bachelor's degree preferred or a combination of professional work experience and education.
Pay Range
The typical pay range for this role is:$100,000.00 - $231,540.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: •
Affordable medical plan options,
a
401(k) plan
(including matching company contributions), and an
employee stock purchase plan
.
•
No-cost programs for all colleagues
including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
•
Benefit solutions that address the different needs and preferences of our colleagues
including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 04/19/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Not included in the source posting: about the role.
Who can apply
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