Director, Duals Program Office Oversight & Coordination

CVS Health • New York, MI

4d • $100,000 - $231,540 • Hybrid

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. At Aetna®, part of CVS Health, we proudly serve more than 26 million medical members through our broad range of health plan offerings. We're committed to delivering a simpler, more meaningful, and personal health care experience to each of them. The National Duals Program Office is the driving force within Aetna’s Medicare Organization’s Duals Centers of Excellence that sets the strategy for the company’s Dual-Eligible Special Needs Plan (D-SNP) program and manages its Institutional Special Needs Plan (I-SNP) program and Special Needs Plan (SNP) training. As the Lead Director of Duals Program Office Oversight & Coordination, you will support the Executive Director of the National Duals Program Office in the national leadership of D-SNPs (Coordination-Only, Fully Integrated and Highly Integrated), I-SNPs, and SNP training. This includes a focus on day-to-day priorities as well as strategic planning and collaboration. This includes keeping abreast of regulatory policies, internal Medicare and Medicaid alignment priorities, the Centers for Medicare and Medicaid Services annual bid process, D-SNP request for proposal (RFP) processes, SNP training development, and other areas, as necessary, to support moving the business forward. As the Lead Director of National Duals Program Office Oversight & Coordination, you will work to gain consensus with a variety of internal stakeholders to support the Executive Director with creating and advancing strategy and consult with local market Medicare leaders to help them make informed decisions that will impact their D-SNP books of business and overall Medicare P&L. Fundamental Job Components Serve as D-SNP and I-SNP subject matter expert

Requirements

• 5+ years of demonstrated experience managing and delivering projects or programs
• 3+ years working with D-SNP and/or Medicaid programs
• Experienced and knowledgeable regarding Medicare/D-SNP and Medicaid regulations and programs
• Excellent verbal and written communication and presentation skills with the ability to tailor messaging to meet the specific level of audience (e.g., from frontline employee to executive leaders)
• Experience interacting with regulatory agencies in a professional, accurate, and solution‑oriented manner
• Highly collaborative with experience working cross-functionally within a highly matrixed health plan or managed care organization

Nice To Haves

• We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week.
• Aetna Service Operations office/hub locations will be discussed with the selected candidate

Responsibilities

• Support the development and execution of D-SNP strategy
• Represent the National Duals Program Office in stakeholder meetings, workgroups, etc. /Act as a reliable meeting proxy in the absence of the Executive Director
• Serve as first line of support to assigned National Duals Program Office colleagues for day-to-day operational inquiries and escalations
• Filter information and prioritize tasks so the Executive Director’s focus can remain on strategic priorities and initiatives
• Oversee projects from conception to completion for National Duals Program-Office specific activities as well as cross-functional initiatives.
• Support the design and management of dashboards to track progress on critical National Duals Program Office work and initiatives, such as market entries and expansions
• Gather, synthesize, and present critical information in a concise format to facilitate efficient decision-making. This includes creating presentations for executive and senior-leadership audiences
• Support prompt turnaround of executive leadership requests by developing/delivering data, presentations, etc.
• Manage multiple high-priorities deliverables at once, and interface with multiple stakeholder teams that rely on the National Duals Program Office to accomplish their deliverables.
• Operate effectively in ambiguous or evolving environments, exercising sound judgment to make appropriate, timely decisions.
• Navigate complex situations with thoughtful judgment and strong interpersonal acumen
• Maintain a high level of confidentiality and fosters a supportive, positive team environment

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 5,001-10,000 employees