Lead Director, Provider Portal Strategy & Operations at CVS Health

Hartford, Connecticut, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Health InsuranceIndustries

Requirements

10+ years of healthcare experience, preferably working with network and provider related operations and strategy
5+ years leading and developing high functioning teams
Adept at execution and delivery (planning, delivering, and supporting) skills
Adept at business intelligence
Adept at collaboration and teamwork
Mastery of problem solving and decision making skills
Mastery of growth mindset (agility and developing yourself and others) skills
Bachelor's degree preferred/specialized training/relevant professional qualification

Responsibilities

Develop and execute comprehensive portal strategies and roadmaps aligned with prioritized provider experience initiatives and workflow requirements
Collaborate with senior management to define strategic objectives and investment priorities for portal enhancements
Oversee portal performance, including file/data processing, system uptime, outage management, defect resolution, and incident response coordination
Lead cross-functional teams to deliver projects and programs from initiation through completion, ensuring timely delivery within budget and scope
Manage portal vendor relationships, including contract renewals, administration, invoicing (over $16M), payment processes, and regular business reviews in partnership with procurement and finance
Coordinate monthly and quarterly health checks and business reviews with vendors
Ensure ongoing compliance through annual security risk assessments, user entitlement validation, recertification, business continuity planning, and process documentation
Coordinate responses to compliance incidents, including potential PHI breaches and audits
Identify project stakeholders, establish effective communication channels, and manage expectations
Monitor expenditures and ensure adherence to financial constraints throughout the project lifecycle
Prepare and present progress reports to stakeholders and senior management
Develop and implement mitigation strategies to minimize risks and ensure project success
Identify opportunities for process improvement and implement best practices, lessons learned, and industry standards
Provide leadership and guidance to project and program teams, assigning responsibilities, setting performance expectations, and motivating team members to achieve objectives

Skills

Strategic Leadership

Portal Strategy

Roadmap Development

Vendor Management

Contract Management

Operational Excellence

Performance Monitoring

Incident Response

Cross-Functional Leadership

Project Management

Compliance

Budget Management

Stakeholder Collaboration

Procurement

Finance

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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