Lead Director, Affordability Strategy

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.

The Lead Director, Healthcare Affordability Strategy is a key leadership position driving ideation and execution of critical affordability initiatives throughout the Aetna enterprise. This role will report directly to the Executive Director, Affordability Program Management and be responsible for leading key initiatives across the Network, Clinical and Med Affairs teams across all three lines of business, Commercial, Medicare and Medicaid.

This role also partners with the Medical Economics Unit to identify rising healthcare costs and implement initiatives that address underlying causes of trend drivers. The Lead Director will own, manage and be responsible for a portfolio of initiatives aimed at improving affordability for members and customers. The position also collaborates with Medical and Clinical Directors to examine trends and develop initiatives that address the identified root causes.

• Experience project managing large scale cross-functional teams with Provider Network, IT, clinical and UM/CM functions. Experience building and designing 300+ line project plans and its subsequent management.

• Experience with interoperability and EMR systems a plus

• Owns the ideation management and execution of key initiatives, working across business teams to identify opportunities and collaborate with MEU and other teams to size opportunities and drive them to execution

• Will lead and own the work groups and teams that will ideate on potential savings initiatives, including monthly updates to executive leadership on status, risks, gaps and outcomes

• Will be able to lead teams of 10+ colleagues, including the potential for direct reports

• Must be able to collaborate and build relationships with like leaders within the CVS enterprise to build out capability and support models in affordability.

• Has a strong, project management and execution focused personality

• Develops a detailed work plan that highlights major milestones to manage delivery schedules and monitors progress to ensure that milestones are achieved throughout the project.

• Approves project plans, budgets, and deliverables, ensuring alignment with organizational objectives and stakeholder expectations.

• Facilitates collaboration across various functions:
  Engages with clinical operations, provider networks, analytics, and finance teams to ensure the successful implementation of cost of care programs, emphasizing scalability, operational excellence, analysis of external partners, and enhancement of value-based contract performance.

• Conducts analyses of financial impact and return on investment.

• Leads strategic problem-solving and ongoing process enhancement:
  Champions initiatives to improve cost management practices within the Aetna Clinical Solutions Performance Management team, promoting a culture of continuous improvement through innovative solutions and data-driven strategic problem-solving.

• Proactively identifies significant project risks, formulates mitigation strategies, escalates issues to leadership, and implements approved mitigation measures.

• Coordinates clinical project teams and manages their interdependencies across various projects and programs within the organization.

• Provides oversight for key strategic projects, ensuring that the final outcomes align with business objectives, established metrics, and that all deliverables and deadlines are met.

• Collaborates with data informatics and Information Services as necessary to guarantee accuracy, integrity, validity, reliability, and consistency in report preparation and distribution.

• Creates and own the presentation of PowerPoint and other presentation materials to senior leadership as well as ongoing workgroup updates.

• Owns the…