Chief Health Services Officer

10 hours ago


Springfield, Illinois, United States CVS Health Full time
Job Summary

We are seeking a highly experienced and skilled Chief Health Services Officer to join our team at CVS Health. This is a critical leadership role that will oversee the health services operations of our Medicaid managed care plan, Aetna Better Health of Illinois.

The successful candidate will have a strong background in medical management, with experience in leadership roles within managed care organizations. They will be responsible for ensuring the organization's health services function is optimally competitive in the IL Medicaid market.

This role will involve matrixed leadership and oversight of centralized medical management functions, as well as serving as the health plan's subject matter expert in medical management operations.

The ideal candidate will have a strong track record of collaboration, teamwork, and execution across multiple departments to deliver results. They will also have experience presenting executive-level presentations to various internal and external audiences.

We are looking for a leader who can drive innovation and excellence in health services operations, while also promoting a culture of diversity, equity, and inclusion.

Key Responsibilities
  • Oversee the analysis, management, execution, and staffing for all health services operations impacting the health plan.
  • Represent the health plan to shared services and the enterprise broadly.
  • Serve as the SPOC on health services operations (CM, UM, all related programs) between the health plan and regulators.
  • Lead and partner with the COO clinical program vendor implementations and maintain an oversight relationship with all external clinical program stakeholders.
  • Capture and communicate to the health plan leaders all internal (AMA, Aetna, CVS) clinical initiatives to ensure the Plan maintains a cohesive clinical strategy appropriate to our market competitiveness and growth goals.
Requirements
  • 10+ years of experience in medical management leadership roles, including leadership within managed care organizations.
  • 5+ years of Medicaid experience, preferably in the State of Illinois.
  • Experience with data analytics reporting and analysis used to help serve managed care populations.
  • Experience presenting executive-level presentations to various internal and external audiences.
  • Strong influencing skills to effectively work across a wide range of senior stakeholders to drive alignment and results.
  • Extensive experience leading cross-functional initiatives and driving innovation.
  • Ability to develop and execute strategic and tactical business plans.
  • Ability to exercise sound business judgment to achieve proper balance between objectives and stakeholder engagement.
  • Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias.


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