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CVS Health

Runs pharmacies, health plans and clinics

Lead Director Digital Product - Quality and STARS

Product ManagementConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • Expertise with value-based care models, payer quality programs, and Epic as a core care delivery platform.
  • Hands-on experience with Epic EHR workflows and module configurations, and the ability to translate operational requirements into Epic build.
  • Understanding of how external health data enriches EHR clinical workflows.
  • Deep familiarity with clinical operations, Quality Improvement methodologies, Value-Based Care constructs, Fee-for-Service operational dynamics, and medical cost initiative care pathways.
  • A track record of leading cross-functional teams to deliver high-scale technology-backed clinical interventions.
  • Ability to frame ambiguous clinical challenges into structured problem statements and hold oneself and teams accountable for execution and measurable outcomes.
  • Bachelor’s degree.
  • 10+ years of progressive leadership experience spanning healthcare operations, clinical technology product management, and enterprise EHR implementation, specifically Epic.
  • Proven history of partnering with primary care delivery networks, retail clinics, and/or value-based care organizations to improve medical cost trends and clinical care pathways.

Responsibilities

  • Partner with clinical and business stakeholders and enterprise governance to ensure Health Maintenance topics reflect current clinical guidelines; intake requests and move them through stakeholder alignment, governance, and execution; and ensure current training materials are available to care teams at the point of care.
  • Lead end-to-end Stars strategy across Part C and D measures, ensuring payer files are faithfully loaded into the core care delivery platform, performance tools accurately reflect program outcomes, technology approaches are continually improved, and strategy teams coordinate training and communications for field teams.
  • Serve as a strategic thought partner to CVS HCD business stakeholders as they define care model strategy.
  • Drive cross-functional technology teams to surface technology solutions that enable care model strategy and execute technology products end to end.
  • Establish shared outcome metrics with business leaders so technology investments drive improved clinical quality, patient experience, and financial performance.
  • Lead multidisciplinary teams of Product Managers, Epic Analysts, Software Engineers, Data Scientists, and Designers to build clinical technology pathways that reduce medical costs and improve patient experience and outcomes.
  • Oversee the transformation of broad ideas into problem statements, product specifications, and Epic/technology architectures.
  • Be accountable for end-to-end technology design, translation into technical requirements, and technology build.
  • Ensure effective integration of external data sources, including claims data, remote monitoring, and health plan feeds, with internal Epic workflows to provide clinicians real-time, actionable insights; identify needed integrations and partner with technical team members on execution in clinical practice.
  • Take end-to-end accountability for the technology lifecycle, from problem discovery through solutioning, build, deployment, and measurable outcome realization.
  • Establish continuous feedback loops and iterative improvement cycles so deployed technologies achieve clinical and financial goals.
  • Maintain an operational understanding of Value-Based Care and Fee-for-Service delivery environments so solutions scale across business models.
  • Lead, mentor, and build a high-performing product team of professionals fluent in healthcare operations and technology capability.
  • Lead and mentor cross-functional technology teams beyond product, including Epic analysts, engineers, and data scientists, focused on CVS HCD admissions prevention efforts.
  • Foster a team culture grounded in curiosity, resilience, and problem-solving, maintaining engagement during complex, high-pressure execution cycles.

Desired Qualifications

  • A graduate degree and/or clinical background, such as RN, MD, DO, NP, or PA.

About the Company

CVS Health

Runs pharmacies, health plans and clinics

CVS Health runs pharmacies, health insurance plans and medical clinics for individuals, employers and government programs across the United States. Its businesses include CVS Pharmacy, the Aetna insurer and Caremark, which manages prescription coverage and negotiates drug prices for health plans. Patients fill prescriptions in stores or by mail and receive care through walk-in clinics, primary care centers and home visits. The company earns money from prescription sales, insurance premiums, plan administration fees and clinical services, combining coverage with places to obtain treatment. Its first store opened in 1963, and its headquarters are in Woonsocket, Rhode Island.

Company size
10,001+
Company stage
IPO
Headquarters
Woonsocket, Rhode Island
Founded
1963

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