Full-Time

Chief Health Services Officer

Confirmed live in the last 24 hours

CVS Pharmacy

CVS Pharmacy

10,001+ employees

Retail pharmacy and healthcare services provider

Healthcare

Compensation Overview

$100k - $231.5kAnnually

+ Bonus + Commission + Short-term Incentive Program + Equity Award Program

Senior, Expert

No H1B Sponsorship

Remote in USA

Fully remote; Illinois resident preferred.

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Required Skills
Data Analysis
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.
  • Experience working with varying levels of contacts, including executive leadership, department leadership, capability enablers and external state officials.
  • Demonstrated success in the areas of collaboration, teamwork, and execution across multiple departments to deliver results.
  • Strong decision-making, analytical and organizational skills.
  • 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
  • Registered Nurse, preferably in the state of IL
  • Illinois state resident
  • Interaction with the state with respect to Medicaid programs, contract requirements, reporting, and deliverables
  • Advanced degree preferred
  • Specialized training or relevant professional qualification will be considered
Responsibilities
  • Ensuring the organization understands Illinois' needs, compliance benchmarks and timelines. You will work closely with the organization to ensure the organization delivers on these needs. Representing the health plan to shared services and the enterprise broadly.
  • Overseeing the analysis, management, execution and staffing for all health services operations impacting the health plan.
  • Overseeing the plan to a detailed and supportive oversight of the activities of the Quality team to ensure maximal performance with HEDIS and accreditations.
  • Serving as the SPOC on health services operations (CM, UM, all related programs) between the health plan and regulators. This role represents the health plan as the health services SME for all external and regulatory stakeholders.
  • Representing the health plan as the health services SME for all Plan-specific RFP activity.
  • Leading and partnering with the COO clinical program vendor implementations and maintaining an oversight relationship with all external clinical program stakeholders.
  • Capturing and communicating 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.
  • Identifying the compliance processes needed to ensure we meet all standards in our Medicaid, such as monitoring report owners and the timely quality review of these reports and works with COO and Compliance to ensure overall compliance of processes.
  • Presenting complex concepts to various levels of leadership within the organization.
  • Serving as point of contact for all health services operations, meet with external stakeholders, such as providers, as needed.
  • Supporting CVS Health in attracting, retaining, and engaging a diverse and inclusive consumer-centric workforce that delivers on our purpose and reflects the communities in which we work, live, and serve.

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, beauty items, and general merchandise. CVS Health also functions as a pharmacy benefits manager, serving over 75 million plan members, and has a senior pharmacy care business that assists more than one million patients each year. This integrated approach allows CVS Health to deliver affordable health management solutions, improving access to quality care and health outcomes while aiming to reduce overall healthcare costs. Unlike many competitors, CVS Health combines retail pharmacy services with clinical care and pharmacy benefits management, making it a significant player in the healthcare sector with a goal of helping individuals achieve better health.

Company Stage

Debt Financing

Total Funding

N/A

Headquarters

Woonsocket, Rhode Island

Founded

1963

Growth & Insights
Headcount

6 month growth

-2%

1 year growth

-2%

2 year growth

-2%
Simplify Jobs

Simplify's Take

What believers are saying

  • CVS offers at-home health testing kits, aligning with consumer demand for convenience.
  • The company provides free cash-back services, attracting customers amid rising fees elsewhere.
  • CVS's digital vaccine scheduler enhances customer convenience for flu and COVID-19 vaccinations.

What critics are saying

  • At-home testing kits may reduce in-store foot traffic for health services.
  • Sony's advanced hearing aids could challenge CVS's market share in this category.
  • Digital wallet trends may require CVS to update its payment systems.

What makes CVS Pharmacy unique

  • CVS Health offers a comprehensive pharmacy network with 9,600 retail locations.
  • The company integrates pharmacy benefits management with over 75 million plan members.
  • CVS Health provides specialty pharmacy services, enhancing its healthcare service offerings.

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