Director, Clinical End to End Implementation Apply
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Position Summary
This position is accountable for and manages the development, implementation and maintenance of Medicaid Clinical implementations and special projects, as assigned. Project scope typically includes a focus on staffing and acquisition/onboarding of talent, to meet contractual requirements. Supports the business by taking appropriate actions, strategies and/or alternatives to meet business needs typically tied to a key Aetna Medicaid practice (project management, business process management, implementation, etc.). Leads complex projects through to implementation.
Sets strategic direction for team and/or complex projects or special projects that may run multiple years in duration with high financial implications. This position has full accountabilities for all aspects of projects such as financial, regulatory, marketing, etc. Scope of work may impact processes, systems, functions, and/or products. Prioritizes work, resources, and time. Ensures the end state of the project meets business objective(s) and that all deliverables and due dates are met. Highly collaborative process often requires managing relationships across the health plan, shared services, and with growth partners/functional areas.
REMOTE POSITION & CAN BE WORKED FROM ANY LOCATION WITHIN THE UNITED STATES.
Responsibilities Include:
- Oversees E2E Clinical Process Milestones, dependencies, and escalations across challenging workstreams
- Oversight of milestone planning, detailed project planning, workflow design and documentation, data analytics, leading cross functional workstream meetings, and keeping SMEs and senior leaders informed and accountable
- Sets the direction of the strategic business plan for assigned project(s) and translates into vision for staff and stakeholders (internal and external).
- As a business leader, influences all stakeholders to support key projects/programs to ensure positive outcomes that deliver on results.
- Collaboratively works across multiple functions and /or segments to obtain agreement from all stakeholders
- Identifies end-to-end process gaps and recommends enhancements related to new and/or existing processes and workflows based on broad view of the organization.
- Builds and fosters strong working relationships with shared services and other matrixed partners.
- Daily and extensive contact with C-suite and other sr. leaders.
- Collaborates and partners with other functional managers, other business areas across/within segments or other business areas to ensure all process, workflows and interdependencies are identified and addressed.
- Consults with constituents (internal and external) to scope/define practice or project work.
- Influences change in order to improve performance results, organization effectiveness and/or systems/quality/services.
- Collaboratively works across multiple functions and /or segments to obtain agreement from all stakeholders.
- Responsible for development and implementation of new ideas that supports work/team.
- Leads the development of project work plans; identifies milestones, key tasks, and appropriate timelines to meet go live date. Implements strategic work plans to achieve business goals.
- Engages End to End team members to ensure all workstream tasks are accounted for, identifies risks and mitigation actions.
- Leads Lessons Learned and Playbook actions for End to End team.
- Administers satisfactions surveys at close of project resulting in quality improvements.
Required Qualifications
- 10+ years experience in health care, Medicaid managed care, or health plan operations is required.
- 10+ years experience in business operations, project management, implementations, or business process development, is required.
- 10+ years experience managing, leading, and developing teams.
- Proficiency with MS Office Suite Applications, such as Teams, Outlook, Word, Excel, PowerPoint, Project, Visio, OneNote, and SharePoint.
- Knowledge of strategic planning and concepts.
- Experience with business process development, implementations, migrations, system updates, or operational improvements is required.
- Project/program expertise in stakeholder facilitations, communications, and relationship management is required.
Preferred Qualifications
- Lean Six Sigma and/or Value process mapping experience Clinical Degree
- PMP certification preferred but not required.
Education
- Bachelor's degree or equivalent education/work experience.
Pay Range
The typical pay range for this role is:
$100,000.00 - $231,500.00
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 companys equity award program.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Companys 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits
CVS 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.
CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.
