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CVS Health · 2 days ago

Executive Director, Healthcare Affordability

United States

Full-time

Remote

Director/Executive

$132K/yr - $303K/yr

15+ years exp

CVS Health is a leading health solutions company dedicated to transforming healthcare. The Executive Director, Healthcare Affordability, is responsible for driving cost-of-care initiatives and developing innovative care models to deliver cost containment strategies.

Health CareMedicalPharmaceuticalRetailSales

Responsibilities

Oversee Aetna’s Healthcare Affordability analysis and initiatives, ensuring execution of defined management processes and alignment with enterprise goals

Collaborate with Medical Directors and clinicians to design and implement new care models targeting specific clinical programs

Partner with Medical Economics, Actuarial, Finance, and Market Performance teams to analyze cost patterns, set utilization benchmarks, and identify actionable insights

Leverage clinical expertise and operational knowledge to interpret rising medical cost trends and propose data-driven solutions

Facilitate Healthcare Affordability business meetings, manage agendas, and provide progress updates to senior leadership

Design scalable methodologies to enhance project and process management effectiveness across business units

Directly manage a team of three Healthcare Affordability Strategists and oversee transition of SAI ownership to execution teams

Serve as a trusted advisor and backup for the VP, Healthcare Affordability when required, ensuring continuity of leadership and strategic direction

Qualification

Cost containment strategiesHealthcare continuum knowledgeMedical Economics proficiencyStrategic planningFinancial analysisExecutive presenceProblem-solvingCollaborationGrowth mindsetProject leadership

Required

Approximately, 15 years in a large health insurer or managed care organization with deep expertise in cost containment strategies

Strong understanding of the healthcare continuum, including Cost of Care, Medical Trend, Utilization Management, Care Management, Network, Value-Based Contracting, Payment Integrity, and Policy

Proven ability to drive enterprise-level initiatives, influence across a matrixed organization, and present to senior leadership

Proficiency in Medical Economics, trend analytics, and key financial metrics; ability to identify root causes and develop actionable solutions

Experience in strategic and business planning, accounting, and financial analysis

Core Competencies: Executive presence and communication skills, Problem-solving and decision-making, Collaboration and stakeholder engagement, Growth mindset and adaptability, Ability to lead complex projects and cross-functional teams

Education: Bachelors degree

Preferred

Masters will be valued

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.