Lead Director, Care Management

CVS Health • Chicago, IL

1d

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. Role Description The Lead Director, Care Management collaborates to drive care management transformation as subject matter expert for integrated care management models. This leader collaborates in vision setting and is accountable for effective design of evidence-based care management workflows, and drives alignment across nursing care management, social work, and community health in value-based care. As a critical cross-functional partner to Population Health and other business functions, the Lead Director operates to ensure a cohesive care management model implementation; driving optimization and innovation.

Requirements

• Proven experience and ability to build, lead and develop diverse teams, engage in multiple perspectives to work toward a common goal
• Proven ability to organize, prioritize and manage multiple complex projects while navigating & collaborating with different stakeholder groups
• A strategic thinker with strong analytical, problem solving, group facilitation, presentation skills
• Ability to exceed in a fast-paced environment while sifting through details quickly and staying focused on goals and deliverables
• Outstanding written and verbal communication and conflict resolution skills
• 8+ years of progressive leadership experience in scaled care management models required, experience in VBC and population health models strongly preferred.
• Advanced degree required (MSN, MPH, MHA, DNP or equivalent).
• RN licensure strongly preferred
• 10 or more years of healthcare experience working as an RN, preferably in a primary care office or other outpatient setting, preferred
• Demonstrated expertise in workflow design, program implementation, and evaluation of evidence-based care management approaches.
• Strong cross-functional leadership skills; experience influencing and partnering across nursing, social work, and community health.
• Proven ability to lead large-scale, complex initiatives with measurable impact on outcomes.
• Excellent communication, change management, and stakeholder engagement skills.

Responsibilities

• Strategic Planning Serve as an organizational subject matter expert for care management, bridging knowledge from diverse models and external benchmarks to inform Oak Street Health’s strategic direction.
• Validate care management approaches through data analysis, literature review, and outcome measurement; drive adoption of proven, scalable solutions.
• Serve as a critical partner to Population Health and other cross-functional teams, fostering collaboration and shared accountability for patient outcomes
• Mentor and develop care management leaders and team members on evidence-based practices, change management, and integrated care delivery.
• Represent CVS Health in enterprise-wide initiatives, industry forums, and external partnerships related to care management innovation.
• Operational management Collaborate on the design, implementation, and continuous improvement of clinical and non-clinical care management workflows, ensuring alignment with evidence-based practice and strong operational rigor.
• Co-lead (dyad) care management initiatives alongside operational leaders to ensure seamless integration of nursing, social work, and community health/care navigation functions.
• Identify and address gaps in care model cohesion, workflow efficiency, and patient experience by engaging clinical and non-clinical stakeholders.
• Other duties as assigned.

Benefits

• Mission-focused career impacting change and measurably improving health outcomes for medicare patients
• Paid vacation, sick time, and investment/retirement 401K match options
• Health insurance, vision, and dental benefits
• Opportunities for leadership development and continuing education stipends
• New centers and flexible work environments
• Opportunities for high levels of responsibility and rapid advancement
• 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