Lead Director, SNP Clinical Strategy & Innovation

To be successful in this position, the candidate must have demonstrated experience with Model of Care or other similar regulatory filings (Program Description, RFP development, Quality Program Review, etc.), designing and implementing clinical and related operational programs for dual eligible and/or clinically complex Medicare populations, and partnering across a matrixed organization to translate specialized clinical initiatives into achievable goals.

• Lead strategic integration and ongoing enhancement of clinical programs and initiatives for SNP members including approaches to mediate impacts of social determinants of health.

• Serve as liaison + leader supporting the advancement of clinical programs and services to support SNP performance and enhance overall capabilities to manage complex populations

• Oversee the collection, analysis and submission of Model of Care and associated regulatory reports to ensure full compliance with accreditation and laws

• Facilitate cross functional planning efforts to formulate and implement strategy for achieving applicable department/unit metrics and provide operational direction to support achievement

• Serve as subject matter expert and business resource for Model of Care requirements, associated clinical model, and clinical reporting requirements

• Develop and participate in presentations and consultations to internal and external audiences

• Update and maintain trainings related to Model of CareRequired Qualifications

• 10+ years experience with significant leadership roles

• Experience with Model of Care development and filing processes or other similar regulatory filings (Program Description, RFP development, Quality Program Review, etc.)

- Experience with both Medicare and Medicaid clinical programs and services

• Experience designing and implementing clinical and related operational programs for dual eligible and clinically complex Medicare populations and for understanding Medicare utilization management, Special Needs Plan model of care and care management requirements, and other specialized clinical initiatives

• Ability to synthesize program performance and clinical outcomes

• Demonstrated experience successfully implementing change in complex organizations

• Demonstrated superior business process, project management and organizational redesign experiencePreferred Qualifications

• MBA
• Registered Nurse (Master's preferred)

Education

• Bachelor's degree or equivalent education and experiencePay 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 peopleWe 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: 05/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.