Lead Director - Stars Clinical Strategy (Part D)
@ 4062 Aetna Resources, LLCLead Director - Stars Clinical Strategy (Part D)
About the job
CVS Health aims to simplify healthcare through innovative, connected, and compassionate services. This role focuses on setting strategic direction for Part D clinical measures, leading improvement efforts and building provider partnerships. Join us to impact healthcare positively.
Requirements
- 10+ years business strategy experience
- 5+ years Medicare Part D expertise
- Leadership experience
- Performance analytics skills
- Stakeholder management skills
Qualifications
- Bachelor’s degree or equivalent
- Advanced degree preferred
- Experience with PBM and pharmacy partners
- Strong communication skills
- Ability to influence in matrixed org
Full job description
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.
Position Summary
The Patient Safety Lead sets the strategy for the Patient Safety domain to drive 4+ Star performance and continuous improvement across key measures, including but not limited to Medication Adherence for Diabetes, Hypertension, and Cholesterol; Statin Use in Persons with Diabetes; Concurrent Use of Opioids and Benzodiazepines; Medication Therapy Management; and Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults. This role is accountable for defining the strategic direction, identifying performance opportunities, and shaping cross-functional priorities, in close partnership with the team responsible for execution.
Scope:
Sets strategic direction to achieve a 4+ Star performance for the Part D clinical measures
Drive significant improvement in all Part D clinical measures year over year
Optimize the strategy to maximize impact with respect to budget for all clinical part D measures
Foster provider and pharmacy relationships to improve clinical outcomes
Drives a culture of accountability, innovation, and continuous improvement
Required Qualifications
10+ years of business strategy consulting experience
5+ years of deep expertise in Medicare Part D Stars measures and methodology
5+ years of leadership experience
Strong background in performance analytics, dashboards, and executive reporting
Ability to thrive in a highly dynamic, matrixed organization and drive execution through influence.
Exceptional executive communication and stakeholder management skills.
Proven ability to lead complex, matrixed teams and deliver enterprise-level results
Preferred Qualifications
Experience working with PBM, provider, retail pharmacy, and other clinical partners
Experience partnering with IT, data, and analytics teams to implement enterprise solutions
Education
- Required: Bachelor’s degree or equivalent experience
- Preferred: Advanced degree (e.g., Masters/Doctorate) or relevant certifications
Pay Range
The typical pay range for this role is:
$100,000.00 - $231,540.00
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.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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