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
- Develops and manages program operations focused on improving clinical and financial outcomes, member engagement, and satisfaction.
- Develops strategies to mitigate high cost/high need utilization of services and assist members with assuming self-management of their conditions.
- Formulates and implements strategy for achieving applicable department/unit metrics and provides operational direction.
- Serves as technical, professional, and business resource (may cross multiple business functions).
- Directs/provides enhancements to business processes, policies, and infrastructure to improve operational efficiency (may cross multiple business functions).
- Develops, implements, and evaluates business analysis, which meet business needs (may cross multiple business functions).
- Creates reports needed to support business operations.
- Collaborates and partners with other business areas across/within regions or segments and within other centralized corporate areas to ensure all workflow processes and interdependencies are identified and addressed on an on-going basis.
- Promotes a clear vision aligned with company values and direction; sets specific challenging and achievable objectives and action plans; motivates others to balance customer needs and business success; challenges self and others to look to the future to create quality products, services, and solutions.
- Collaborates with licensed staff from other areas that assist with oversight of clinical staff and activities of licensed personnel.
- Support state-driven deliverables
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- 5-7 years work experience in informatics/data analysis
- 2+ years experience with execution and delivery (planning, delivering, and supporting)
- 2+ years experience communicating in a highly effective manner with internal and external constituents in both written and oral format.
- 2+ years experience evaluating and interpreting data for the purpose of developing new programs and processes to meet business demands (Quantitative and Qualitative analysis)
- 2+ years experience synthesizing program performance and clinical outcomes.
- Adept at problem solving and decision making skills
- Adept at collaboration and teamwork
- Adept at growth mindset (agility and developing yourself and others) skills
- LTSS, NCQA, and Managed Care experience
- Managing QuickBase and PowerBI
- Bachelor's Degree Required
40Time Type
Full timePay Range
The typical pay range for this role is:$46,988.00 - $112,200.00This 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.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.