Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

The Care Management Associate Director is responsible for overseeing the operations, development, and implementation of care management programs and strategies to improve clinical outcomes and reduce healthcare costs. This role involves overseeing the operations and strategic direction of care management within an ACO, collaborating with healthcare providers, and analyzing data to identify opportunities for cost savings and quality improvement.

This is a remote opportunity, open to any US state, but the candidate would need to work hours that would be typical of either EST or CST.

 Responsibilities:

• Collaborate with healthcare providers to ensure coordinated and efficient care delivery.
• Analyze clinical and financial data to identify trends and opportunities for improvement.
• Develop and monitor key performance indicators (KPIs) related to care management and affordability.
• Implement strategies to improve patient outcomes and reduce hospital readmissions.
• Ensure compliance with regulatory requirements and accreditation standards.
• Provide training and support to care management staff.
• Develop and maintain relationships with external partners, including insurance companies and healthcare providers.
• Prepare and present reports on care management and affordability initiatives to senior leadership.
• Develop and communicate a clear product vision and strategy that aligns with the organization’s goals and patient needs
• Continuously monitor product performance and adjust strategies based on metrics, customer feedback, and market trends
• Work closely with cross-functional teams, including design, engineering, and marketing, to ensure successful product development and delivery
• Define and prioritize product features based on customer needs, business goals, and technical feasibility2.
• Collaborate with stakeholders to create detailed product requirements and user stories
• Coordinate with sales and marketing teams to prepare for product launch and ensure effective communication with customers
• Monitor product performance post-launch and make necessary updates or improvements
• Gather and analyze user feedback to continuously enhance the Care Management product

Required Qualifications

• Bachelor’s degree in Nursing, Healthcare Administration, or a related field
• Current RN license
• 5+ years of experience in care management or clinical leadership roles.
• Product management experience is required
• Strong understanding of care management processes and healthcare systems.
• Excellent communication and collaboration skills.
• Ability to analyze data and make informed decisions
• Strong understanding of healthcare regulations and cost management strategies.
• Excellent leadership and organizational skills.
• Proficiency in data analysis and healthcare management software.
• Strong communication and interpersonal skills.
• Ability to work collaboratively with diverse stakeholders.
• Experience with quality improvement initiatives and performance measurement.

Preferred Qualifications


Education

Bachelor’s degree in Nursing, Healthcare Administration, or a related field

Pay Range

The typical pay range for this role is:

$123,857.50 - $266,770.00

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. 
 
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 Company’s 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 Benefits | CVS Health

We anticipate the application window for this opening will close on: 12/30/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.