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Medicare Performance Management Lead Director

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Cary

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Category:
IT - Administration

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Contract Type:
Employment contract

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Salary:

100000.00 - 231540.00 USD / Year
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Job Description:

The Medicare Performance Management Lead Director will facilitate and support implementation of the business unit's management process and operating model. This role will assist the Carolinas and Tennessee Medicare Advantage market, in supporting the development and execution of the market strategies, including the development of market level Medicare Advantage product and network strategies, execution of pricing commitments, and management process to ensure development and execution of the plan. Continuously improve management practices to enable collaboration and shared accountability for success.

Job Responsibility:

  • Facilitate and support implementation of the business unit's management process and operating model
  • Assist the Carolinas and Tennessee Medicare Advantage market in supporting the development and execution of the market strategies
  • Develop market level Medicare Advantage product and network strategies
  • Execute pricing commitments and management process to ensure development and execution of the plan
  • Continuously improve management practices to enable collaboration and shared accountability for success
  • Analyze Medicare business performance
  • Review both financial and medical economic information
  • Drive execution of pricing commitments and corrective action plans
  • Create a metrics driven management process
  • Identify and lead Process Improvement opportunities relating to Medicare Advantage
  • Manage process for identification of areas to prioritize performance improvement
  • Review Key Performance Metrics
  • Help establish targets
  • Bring segment/product priorities to the market for local execution
  • Support Local Market General Manager
  • Develop a project management framework for driving accountability
  • Develop monthly Performance Excellence agenda and facilitating meetings and follow-ups

Requirements:

  • 10+ years' experience with several of the following methodologies: management consulting, project consulting, business process consulting, financial strategic analysis, mergers and acquisitions, strategic business planning, and/or risk management consulting
  • Experience with enterprise-wide and/or cross-functional large-scale initiatives with a high degree of complexity
  • Demonstrated experience successfully implementing change in complex organizations
  • Demonstrated superior business process, project management and organizational redesign experience
  • Demonstrated leadership with relevant initiatives: Business process, enterprise business project management/consulting, financial strategic planning and analysis, mergers and acquisitions, strategic planning, risk management
  • Demonstrated relationship management skills at the senior level
  • capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously
  • Master's degree preferred

Nice to have:

  • Creating Profitable Partnerships
  • Collaborating for Results
  • Developing and Executing Strategy
  • Communicating for Impact
  • Engaging and Developing People
  • Database - SQL Server/1-3 Years/End User
  • Desktop Tools - Microsoft PowerPoint/1-3 Years/End User
  • Database - Hyperion Essbase/1-3 Years/End User
  • Database - Microsoft Access/1-3 Years/End User
  • Management - Management - Medicare/7-10 Years
  • Finance - Financial analysis - P&L support/7-10 Years
  • Project Management - Plan management/7-10 Years
  • Management - Management - Process and quality improvement/7-10 Years
What we offer:
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • No-cost wellness screenings
  • Tobacco cessation and weight management programs
  • Confidential counseling and 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 08, 2025

Expiration:
November 08, 2025

Employment Type:
Fulltime
Work Type:
Hybrid work
Job Link Share:
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