Executive Director, Clinical Health Services - Mental Well-being at CVS Health

Hartford, Connecticut, United States

Apply Now

Not SpecifiedCompensation

Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Health Insurance, Mental HealthIndustries

Requirements

15+ years of experience in clinical practice and research
8+ years of experience in the mental healthcare delivery system; significant post-graduate direct patient care experience
5+ years of leadership or management experience in the healthcare industry with a focus on mental health roles
Depth of clinical knowledge within mental health fields
External speaking experience, including direct engagement with customers, business leaders and industry organizations
Ability to drive change in alignment with the mission, vision and values of the organization
Strong understanding of analytics and ability to translate insights
Demonstrated ability to work effectively and collaboratively in matrixed environment
Strong project management skills
Strong work ethic, self-starter, and highly productive in a dynamic, collaborative environment

Responsibilities

Drive clinical oversight for clinical operational areas across EAP, RFL and On Demand teams ensuring high quality interactions (Clinical oversight, consulting with clinicians and overseeing clinical workflows)
Own the cross functional management process with clinical ops and OCPO for Health Affordability and SAI to review medical cost trends and working across lines of business and other constituents such as network and SIU to drive execution on opportunities to improve cost and outcomes
Represent Aetna Mental Well-being externally at events and present to customers on analytics, clinical story and thought leadership in Mental Health and Well-being
Bring data expertise to guide the analytics design with performance excellence team to provide clinical design and interpretations, drive modeling and present clinical and outcomes data externally to customers and industry experts
Support BH Clinical Operations ensuring efficient and effective delivery of healthcare services
Partner with the Chief Psychiatric Officer and Chief Medical Officer on ensuring clinical discipline in operations and appropriate clinical policies are in place
Identify and operationalize clinical opportunities to improve access, quality and affordability for members
Represent the Mental Well-being business with centralized Quality function focused on HEDIS and NCQA with mental health clinical guidance and expertise
Provide clinical expertise as part of mental well-being vendor evaluation process

Skills

Clinical Oversight

Mental Health Expertise

Clinical Operations

Data Analysis

Healthcare Analytics

Medical Cost Management

Cross-Functional Management

Thought Leadership

EAP

RFL

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

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, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters

1963Year Founded

DEBTCompany Stage

Healthcare, Consumer GoodsIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.

The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.

The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.

The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.

CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.

Increased consumer interest in wellness boosts demand for CVS's health-related products.

The trend towards value-based care aligns with CVS's integrated healthcare approach.

Land your dream remote job 3x faster with AI

Try Jobo Free