Admission Prevention, CVS Health

CVS Health

Location:
United States, Work at Home

Category:
Health and Beauty

Contract Type:
Employment contract

Salary:

157800.00 - 363936.00 USD / Year

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Job Description:

As the AVP, Admission Prevention at Oak Street Health (a CVS Health company), you will report to the Chief Clinical Officer and oversee our overall admission prevention program. This role involves leading a full strategic revamp and implementing related changes for Complex Patient Care, Transitions of Care and Emergency Department Diversion, and Delegated Utilization Management / Care Management programs. The position focuses on rebuilding healthcare around wellness and positive outcomes through dedicated care teams that provide personalized, accessible, and effective care to older adults on Medicare, particularly in underserved communities.

Job Responsibility:

Oversee the overall admission prevention program
Lead strategic revamp and implement related change for programs in partnership with clinical operations and field leadership
Manage Complex Patient Care strategy and operations for highest cost patients
Oversee Transitions of Care and Emergency Department Diversion strategy and operations
Manage Delegated Utilization Management / Care Management for ~150K members
Provide strategic and operational leadership for Medical Management functions including Transitions of Care, Complex Care, and Delegated UM/CM
Create and drive integrated strategy across transitional care, complex care, and utilization management
Oversee cross-functional team including centralized RN and MSWs cohorts
Drive transitional care programs aimed at preventing hospital readmissions and improving HEDIS stars performance
Lead centralized management of highest-cost patients
Develop and implement organization-wide strategies for care management and social determinants of health
Oversee delegated utilization management for acute and post-acute admissions
Partner with central clinical operations, population health, compliance, and finance teams
Collaborate with field medical directors and operational leaders
Mentor and develop leaders within the Medical Management organization

Requirements:

15+ years of applicable experience in healthcare / population health / working with healthcare providers
or other similar fields
Strong understanding of Value Based payment mechanisms
Background in management consulting or equivalent strategic experience
Strong leadership skills with the ability to inspire, build trust, and influence diverse stakeholders
Strong business and financial acumen
Must have strong financial and operational expertise with a history of achieving results
Ability to operationalize external vendor solutions to complex operational issues
Established ability to develop innovative operational changes
Demonstrate executive presence and ability to interact with internal and external constituents
Incredible level of organization and detail orientation
Analytical and data savvy
Ability to develop business cases, ROI analysis, and financial analysis
Proven ability to connect the dots across teams and initiatives, proactively communicating how individual projects align with broader organizational goals
Proficiency in Microsoft Office Suite, Google Workspace, and project management tools
Strong work ethic
Self-starter
Ability to be highly productive in a dynamic, collaborative environment

Nice to have:

Demonstrates a pleasantly persistent approach to problem-solving and collaboration
Brings a humble, team-oriented mindset to every interaction
Quick to learn and thrive in environments with high levels of ambiguity and change

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost wellness screenings
No-cost tobacco cessation programs
No-cost weight management programs
Confidential counseling
Financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
November 25, 2025

Expiration:
December 12, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Admission Prevention