[Remote] Population Health Director - Aetna Michigan at CVS Health

Michigan City, Mississippi, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

10 years’ clinical and/or managed care experience in the healthcare industry
Reside in Michigan
7 years’ Experience with Medicaid managed care or Population Health
Active and unrestricted registered nursing license or social worker license in state of residence
Mastery of problem solving and decision-making skills
Mastery of collaboration and teamwork
Mastery of growth mindset (agility and developing yourself and others) skills
Mastery of execution and delivery (planning, delivering, and supporting) skills
Mastery of business intelligence
Master’s degree or other advanced degree in nursing, social work, health services research, health policy, information technology, or other relevant field

Responsibilities

Responsible for all population health management components
Oversee the strategic design, implementation, and evaluation of population health initiatives based on a deep understanding of scientific population health principles
Sponsor and champion system-wide initiatives, including cultivating the support necessary to achieve the desired objectives of supporting equitable whole person care for Enrollees
Develop and implement operational plans that address the market opportunities/challenges and align with the established population health goals of serving the whole person, including Enrollees’ medical and non-medical needs
Coordinate with the Medical Director and the Quality Improvement and Utilization Director and external parties on population health activities

Skills

Population Health Management

Strategic Planning

Implementation

Evaluation

Data Analysis

Stakeholder Management

Healthcare

Health Outcomes

Quality Improvement

Utilization Review

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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