Lead Director, Provider Performance Mgt

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Summary: The Lead Director, Provider Performance collaborates with the Med Affairs Network team to ensure it is data-driven and following through on its commitments. The role is a key enabler of the Med Affairs network team, working with partner analytics functions to measure and improve performance of the team and its network provider partners on outcomes that matter, including med cost, quality, and experience across all lines of business and regions. For new initiatives driven by the team, this role will help track, facilitate, and find cross-functional opportunities. Key partners will be the medical economics unit, network performance team, value-based contracting team, and analytics and behavior change team as the team seeks to drive best in class data analysis and develop tools to assist with progress and performance management for the area. The Lead Director, Provider Performance acts independently to address issues, guide direction, and provide analysis for performance management and planning initiatives. This leadership role will include evaluation of business challenges with providers, identifying and seizing new opportunities, prioritizing critical issues, securing executive level buy-in, implementing change, and generating demonstrable impact. In addition, this Lead Director will facilitate efforts to develop clinical strategies and implement new innovative projects to help drive performance. Primary Job Duties & Responsibilities: The Lead Director works across the Aetna and CVS enterprise in a highly collaborative partnership with multiple business units to drive better VBC and other clinical outcomes and cost-savings initiatives. The Lead Director is responsible for identifying opportunities, driving execution and monitoring performance to achieve desired outcomes.

Lead and manage multifaceted strategic projects and programs, ensuring the end state of the project meets business objectives, agreed upon metrics and outlines deliverables with due dates. Advise leadership on project status, risks and recommended actions to support informed decisions. Develop strategies to manage and monitor project performance for the Network Med Affairs team. Drives evaluation of performance and related impact including identifying lessons learned and implementing best practices. Engage with cross-functional teams to identify improvement opportunities. Develop analyses, presentations and other reporting materials to successfully implement performance monitoring and improvement initiatives and socialize work to stakeholders. Navigate a highly matrixed, collaborative work environment to meet goals. Skilled at developing positive interpersonal relationships with stakeholders across the enterprise to facilitate effective collaboration.