Lead Director, Network and Trend Optimization- Central Region Remote at CVS Health

Texas Twp, Michigan, United States

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Not SpecifiedCompensation

Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Health Insurance, PharmaceuticalsIndustries

Requirements

Candidates should have a minimum of 7-10 years of experience in the healthcare industry, with a focus on network management. Experience in the Central Region is preferred.

Responsibilities

The Lead Director will act as a liaison between Network, Finance, Clinical Operations, and Sales Teams to identify and implement opportunities for cost efficiency and quality performance in the region. This role involves collaborating with data and analytics teams to analyze healthcare cost trends, working with network teams to ensure competitive provider networks, and partnering with sales teams to develop strategies that improve the network's cost position. Responsibilities include developing and executing strategic initiatives, ensuring competitive network arrangements, mitigating trends, providing actionable insights, and reporting on network performance and trend analysis to leadership and stakeholders.

Skills

Network Optimization

Trend Analysis

Cost Efficiency

Quality Performance

Data Analysis

Healthcare Cost Trends

Provider Networks

Utilization Trends

Strategic Planning

Financial Strategy

Clinical Objectives

Market Needs

Pricing

Network Curation

Medical Management

Commercial Trend Management

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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