Description
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 colleagues who care deeply, innovate with purpose, and prioritize safety and quality in everything they do.
The National Accounts Lead Director, Clinical Program Consultant (CPC) serves as a consultative strategic partner who reviews clinical data and trends, helps evaluate clinical program effectiveness, and identifies clinical cost drivers. You will analyze high-cost claimants and engage with medical directors and clinical resources as needed. Your primary goal will be to make recommendations that help improve the overall health of customer populations.
Responsibilities include:
- Leading a team of approximately 7-8 Clinical Program Consultants
- Providing day-to-day oversight of the customer-facing work of the team
- Setting priorities for the team's work and ensuring that appropriate resources are aligned to the needs of Field partners and their customers
- Collaborating with Field leaders to understand their business retention and growth objectives and how the work of the CPCs can best support those objectives
- Providing coaching and development to ensure that each team member is maximizing their potential
- Working directly with customers in a strategic advisory role
- Collaborating with Aetna National Accounts Field Sales and Service staff to identify customers who may benefit from Aetna's clinical management programs
- Evaluating and analyzing medical, pharmacy, behavioral health, and disability trend drivers and proposing clinical programs and/or improvements to manage these trends
- Consulting with clients on trends identified within their employee base and working to tailor the most effective cost management strategy possible
- Seeking to maximize clinical and financial outcomes for customers from the clinical programs and/or improvements recommended
- Identifying and rectifying clinical program gaps at customers who are utilizing Aetna clinical management programs
- Managing multiple projects and priorities throughout the year and mitigating negative outcomes that may arise due to market and competitive landscape changes
Requirements:
- 7+ years of experience in the healthcare industry, well-being, healthcare consulting, client reporting and analytics, clinical operations, and business management
- Minimum 7+ years of diverse clinical and well-being experience
- Ability to lead and collaborate across teams
- Prior experience managing and/or leading teams
Preferred Qualifications:
- Unrestricted RN or LCSW license
Education:
- Bachelor's degree or equivalent work experience
Salary Range: $100,000.00 - $231,540.00 per year
Benefits:
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs and other resources