CVS Health Hiring For Avp, Health Services at Hartford, CT, United States Full Time

Job Description

The Service Excellence organization is responsible for leading the delivery of Aetna quality and compliance efforts, cross-functional reporting, and cultural transformation. The Associate Vice President of Clinical Services, Health Care Quality Management will be a critical leader in Service Excellence, responsible for driving strategic initiatives, managing operational planning and reporting, and successfully delivering strategic projects across the Service Excellence organization.

1. Oversees the implementation and ongoing execution of the Health Care Quality Management Program to support business, regulatory and accreditation requirements.
2. Ability to manage a team dedicated to delivering HEDIS reporting, clinical quality gaps in care, clinical intervention projects and pilots, and on-shore and off-shore vendor management.
3. Support the development, implementation, and measurement of Service Excellence priorities and initiatives across functions, ensuring alignment with department and enterprise strategy.
4. Lead the strategic execution for the HEDIS technology roadmap, driving performance through application of technology, data and analytics, leveraging a diverse team comprised of both business and technical resources.

5. Lead Health Equity strategy that will include but not be limited to aligning with the Enterprise and CESI Health Equity strategy, implement quality of care gap closure initiatives focused on improving health care disparity outcomes, and having the ability to write responses that speak to health equity, diversity and inclusion on RFP/RFI submissions or other business growth opportunities.
6. Provide oversight and support of functional staffing models, including evaluation of staffing requirements, establishing standard job descriptions and job aids, and promoting adoption of best practices.
7. Collaborates with executive leadership throughout the organization to develop and implement program strategies that meet business, regulatory and accreditation requirements. Typically manages multiple teams, managers, complex projects that impact multiple processes, systems, or functions, and manages relationships across the segments or multiple functional areas.
8. Has full accountability for all aspects of projects and or programs such as financial, regulatory, marketing, etc. Supports the business by recommending appropriate actions, strategies and/or alternatives to meet business needs.
9. Collaborate with finance and leads to identify, track, and report on budget performance, including identification and delivery of targeted savings opportunities.
10. Leads team of colleagues who manage all aspects of a project and or program such as planning, coordination, development, implementation including the financial implications while prioritizing work, resources and time. Ensures the end state of the project and/or business operations meets business objective(s) and that all deliverables and due dates are met.

Required Qualifications

• 8-10 years of experience in Business Operations, Strategy and/or M&A experience within the healthcare, IT or retail industries.
• High-level of skill and experience required in process definition and problem solving, often in ambiguous situations.
• Strong planning and project management skills, including use of relevant tools (Excel, PowerPoint, etc.).
• Strong data and analytics skills, including modeling, synthesizing information and deriving key insights.
• Strong verbal and written communications, proofreading/editing, and presentation skills.
• High level of confidence and ability to drive progress across many functions in the organization.
• Ability to navigate and collaborate across key stakeholders, including operations leads, finance, HR, communications and business counterparts.
• Team player, effective at managing both up and down the organization and translating complex direction across staff.
• Willingness to travel to meet business needs (5-10%) – as needed

COVID Requirements

COVID-19 Vaccination Requirement
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.

Preferred Qualifications

• Prior strategy and/or operations experience preferred
• Can navigate a matrixed environment
• Experience driving projects to success in cross-functional environments
• Proven ability to develop strong working relationships with senior executives, peers, external advisors and cross-functional team members
• NCQA, URAC, AAAHC, CMS, OPM knowledge
• HEDIS, Stars, QRS measures
• Experience with Duals, SNP, FIDE

Education
Required – Bachelor’s Degree
Preferred – Master’s Degree, MHA, MBA, PhD

Business Overview
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.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day.

CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.