About The Position

We have an outstanding opportunity for a highly driven and organized leader to join our Healthspire Payor Solutions Product team focusing on Cardiometabolic products. About CVS Healthspire: The CVS Health Healthspire Payor Solutions organization designs, delivers, and operates a configurable collection of products, programs, and tools that complement the benefit plans of our enterprise employer and health plan customers. Our care delivery and care management solutions target population health outcomes that require risk mitigation, intervention, and ongoing chronic care management. We use technology-enabled population identification based on multisource data integration - medical claims, pharmacy claims, lab data and patient inputs- for applying evidence-based opportunities and an omnichannel, next best action approach. Advanced analytics drive higher engagement and better care delivery through a comprehensive machine learning platform and our one-on-one patient connections. Our solutions deliver a highly engaging digital and virtual care experience for patients helping them improve their health outcomes. ____________________________________________________________________________________ About The Role: We are seeking an agile and strategic Senior Manager, Program Design and Operations Strategy, Cardiometabolic Solutions to join our Product team to lead and shape the future of our cross-portfolio condition management programs. As a Senior Manager, you will be responsible for designing and managing the delivery of patient care programs in the cardiometabolic space. You will collaborate with Clinical Operations, Medical Affairs, Legal, Data Science, and others to design and manage highly scaled patient-facing components across our cardiometabolic product portfolio. You will work with data to understand how product engagement is performing and design and deliver enhancements that drive strong clinical outcomes, program engagement, and improve patient experience. In this role you will be responsible unpack complex opportunities, quantify and prioritize them, and lead groups of diverse stakeholders to deliver on your objectives.

Requirements

  • 5+ years of experience in product management/development, product operations & strategy, or program management within the healthcare space preferably at a health tech, tech-enabled provider, or Payor/PBM organization
  • 5+ years of experience managing multiple projects and prioritizing work based on impact and team priorities
  • 5+ years of experience developing analyses, presentations, and support materials to successfully drive product strategy decisions and deliver operational process change
  • 5+ years of experience in strategic thinking including quantitative, analytical, and problem-solving skills
  • 5+ years of making informed, data-driven decisions, with a strong emphasis on translating data insights into actionable strategies.
  • 4+ years of experience managing relationships at a senior level; capacity to quickly build and maintain credible relationships at varying levels both within CVS Health and outside of the organization
  • 2+ years managing one or more employees
  • Bachelor's Degree required; may consider comparable work experience

Nice To Haves

  • Experience within the care delivery and management industry
  • Experience in management consulting
  • Experience manipulating and analyzing data from large databases using SQL or other appropriate software
  • Expertise in vendor contracting and relationship management
  • Master's or other advanced degree is preferred

Responsibilities

  • Independently leading dozens of partners across Clinical Operations, Medical Affairs, Legal, Sales, Account Management, Data Science & Engineering, IT, Client Analytics to structure and execute on new program designs and enhancements
  • Partner with Marketing, Sales, and Account Management to communicate program performance and our product roadmap
  • Build business cases to justify and prioritize product enhancements and design a measurement strategy to measure their impact
  • Define longitudinal patient journeys that meet engagement and clinical outcomes, write requirements, and then partner with Operations and Technical stakeholders to bring these experiences to life
  • Design, enhance, and manage patient and clinician experiences, processes, protocols, assessments, and workflows
  • Develop and maintain strong, strategic relationships with key suppliers and matrix partners to drive partnership and performance
  • Evaluate KPI and SLA performance, measuring program efficacy to formulate and subsequently deliver upon quality improvement plans
  • Leverage data-driven insights and a deep understanding of patient and client needs and market dynamics to identify and prioritize items enhancement
  • Conducting deep dive quantitative and qualitative analyses to identify opportunities for innovation and process improvement

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.
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