[Remote] LD Director, UM Innovation Delivery at CVS Health

Connecticut, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

10+ years experience in healthcare project management
Strong understanding of clinical and health plan operations and value creation methodologies including Utilization and Policy Management, Care Management and Coordination, Quality, Compliance and Regulatory Management
Successful experience in strategic planning, execution, and agile project portfolio management within the healthcare industry
Expertise in technologies such as APIs, Microservices, Business Rules, Predictive Modeling, AI, NLP
High ability to consistently produce and create value and meet/exceed committed performance
Strong interpersonal and communication skills
Strong verbal and written communication skills; proven ability to deliver presentations to senior leadership team members

Responsibilities

Lead and manage strategic projects and programs from initiation to completion
Drive transformation initiatives to modernize healthcare UM operations
Collaborate with senior leadership to define strategic plans and objectives
Set up and execute SAFe Agile trains; lead PI planning and sprint execution
Define product features, prioritize MVPs, and develop delivery roadmaps for UM automation capabilities
Oversee configuration and maintenance of business rules and automation tools
Apply formal project management methodologies to manage timelines, risks, dependencies, and change controls
Monitor budgets and resource allocation to ensure financial accountability
Develop, motivate, and manage a high-performing team
Contribute to a motivated work environment by working collaboratively with key stakeholders

Skills

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.

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