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Senior Director, Quality Strategy and Initiatives

4 weeks ago

Hartford, Connecticut, United States CVS Health Full time
Transforming Healthcare with Quality Excellence

CVS Health is seeking a seasoned leader to drive quality excellence in our government business. As an AVP, Quality Strategy and Initiatives, you will be responsible for leading a cross-functional team to achieve quality performance and leadership in our Medicare, Medicaid, and Duals programs.

Key Responsibilities:
  • Develop and implement market-leading quality strategies to improve HEDIS, STARS, and Performance Improvement Plan performance.
  • Lead a team of approximately 500 clinical and non-clinical staff to achieve quality goals and objectives.
  • Collaborate with shared service partners to drive performance outcomes and achieve regulatory compliance.
  • Develop and maintain intelligence on competitor capabilities, technology, and overall competitive advantage.
  • Lead change management initiatives to drive cultural transformation and improve health outcomes.
Requirements:
  • 15+ years of experience in healthcare/managed care leadership roles with experience in HEDIS/Medicaid/Medicare/Duals/IFP Quality program performance management, analytics, reporting, and forecasting.
  • Proven experience driving performance management and meeting/exceeding state, federal contract requirements and operational performance.
  • Strong understanding of state/federal quality requirements and key strategic and operational imperatives/interoperability (data ingestion).
  • Strong problem-solving and analytical skills, with ability to build, cultivate, and support teams with excellent leadership skills.
  • Ability to work collaboratively within a matrix organization and influence line management decisions with data-driven facts.
Preferred Qualifications:
  • Clinician preferred (MSW or RN licensure)
What We Offer:

CVS Health offers a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan. We also offer a fully-paid term life insurance plan, short-term and long-term disability benefits, and numerous well-being programs. As a CVS Health employee, you will have access to free development courses, a CVS store discount, and discount programs with participating partners.