Job Description

Job Description
The Director reports directly to the Head of Clinical Transformation. The Director provides strategic leadership for the development of provider centric assessments and performance improvement strategies, road map, tools, and methodologies. S/he leads the team of Strategists and Clinical Consultants, and is responsible for maintaining a highly productive and motivating work environment to achieve business goals and deliver superior solutions for transforming ACO/Joint Venture partners. S/he develops and implements performance improvement capabilities designed to enable Strategic, Business and Clinical Transformation within ACS providers to help achieve the quadruple aim. Leads the implementation of solutions with provider organizations, and provides work stream oversight for professional level engagement delivery staff from across multiple teams. The Exec Director also provides leadership in the development and implementation of transformation plans to achieve targeted improvement goals. S/he collaborates with other leaders within the transformation team and across ACS as well as Aetna overall to identify enabling technology and service products, programs, and approaches that integrate informatics and performance improvement with clinical, business, strategic, and technology transformation approaches.
Key Responsibilities Include
Assesses providers capability infrastructure for population health management (Pre deal and concurrent with reviews).
Develop and prepare for Sr. leadership presentations for ACO performance
Accountable for managing the providers' financial risk of ~ $250M for each region
Interacts, presents, and engaged with C-suite level provider partners throughout the transformation journey.
Design and develop and oversee implementation of a comprehensive customized strategy ( ACO 2.0 roadmap) to drive a successful population health management operation for each of the region ACOs and Joint Venture provider partners.
Capture and elevate to Sr. Leadership the feedback from the market place and the provider community that will shape the ACS strategies going forward. (continuous process improvement)
Support provider partners through the implementation of the recommendations.
Provides consultation and advisory support to the provider to close the gaps in the capabilities.
Monitoring and tracking ACO performance against the defined targets and engage with ACOs in deep dive projects for process improvement and review of technology enablement.
Leads a team of business consultants and clinical consultants.
Partner with clinical team in implementing and deploying various skills and transformation projects.
Manages projects, people, customer expectations and business priorities to achieve constituent satisfaction.
Oversees day-to-day activities of the team.
Manages and builds a strong team through formal training, diverse assignments, and coaching, mentoring and other development techniques.
Motivates and is willing to understand and probe into technical details, and mentors others to do the same.
Contributes to a motivated work environment by working effectively to achieve common goals.
Drives the overall design or methodology of tactical and strategic advisory solutions that satisfy needs across products, segments and clients to increase engagement.
Strategic member of the Transformation Leadership team.
Communicates and consults with Senior Leadership to ensure that informatics and performance improvement strategies focus on long term results and represent all constituencies effectively.
Manages budgets, plans and expenses for large scale strategic projects, and participates in cost center management.
Collaborates with the external provider partner and internal (Vice President of Transformation and ACS departmental leaders) stakeholders to design, implement, and continually improve outcomes tracking and measurement models related to Provider Transformation.
Collaborates with business partners to provide advice on metrics, tools, and outcomes models for development and evaluation of projects and programs.
Proactively builds and maintains internal and external key relationships.

Required Qualifications
Minimum 12 years managerial and project management experience required.

Preferred Qualifications
Qualifications:
10-15 years strong background in health care analysis methods and tools, health economics, ACO finance.
Ability to collaborate with and understand the needs of C-level executives and help translate those needs to an actionable plan. Demonstrated ability to communicate technical concepts and implications to business and policy decision-makers and clients.
Outstanding verbal and written communication skills, including formal presentations for all levels of management combined with strong collaboration/influencing abilities.
5-10 years in both payer and provider settings highly preferred.
Deep knowledge of health care industry, policy, research design, predictive modeling, ACO finance methods and tools.
Strategic business acumen and proven organizational, management, and leadership skills.
Demonstrated collaborative style, with ability to influence diverse teams and build strong relationships.
Demonstrated strategic thinking, problem solving and critical thinking abilities.
Demonstrated success leading direct, indirect, and virtual teams in a matrixed environment successful direct report leadership and coaching experience.
Demonstrated ability to negotiate complex and often contentious issues; reach consensus and work through people to achieve key goals.
Financial acumen and experience with accountable care financial models.
Experienced working with clinical and claims data.
Success experience working with clinicians, finance and operational leaders to drive performance improvement experience.
30-50% travel required when COVID travel restrictions are lifted.

Education
MBA or MS in management, finance or a related healthcare discipline required

Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.