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　　Position Summary

　　The Director, Medicare Market Performance will facilitate and support implementation of the business unit’s management process and operating model. This role will assist the Medicare Advantage market facing General Manager most directly, 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. The role will be an analyst of Medicare business performance, meaning that the role is expected to review both financial and medical economic information on their own, to be a self-guiding individual that can point to issues that need to be addressed and focused on

　　Role will report to the Territory Lead of Medicare.

　　Fundamental Components:

　　Manage business processes, but also actively influence local market performance but help to shape and drive the markets bid strategy.

　　Help to communicate focus activities on diagnosis i.e. unit cost / utilization / provider collab / revenue management. Drives execution of pricing commitments and corrective action plans.

　　Create a metrics driven management process that allows the segment to understand measured performance. to deliver on the strategic objectives, cost containment activity, growth objectives, and new initiatives to identify and pursue opportunities for further alignment across the Medicare Advantage market and segment leadership teams.

　　Liaison between senior management and local market leaders Identifies and leads process Improvement opportunities relating to Medicare Advantage Manages process for identification of areas to prioritize for performance improvement Reviews Key Performance Metrics,

　　Help to establish targets Brings segment/product priorities to the market for local execution. Supports Local Market General Manager

　　Develop a project management framework for driving accountability

　　Develop monthly Quick Strike agenda and facilitate meeting and follow-ups Management process such as Pricing Commitments, market visits, deep dives, performance/ scorecard and takeaways that align to execution of Strategy Identifying, prioritizing and driving alignment opportunities across markets

　　Enable operating model for partnership with local General Managers, Director of Operations, CFOs, Medical Directors, Network Managers, Medical Economics, and Pricing Actuaries

　　Required Qualifications

　　10+ years of 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.

　　5 plus years of Medicare Advantage Plans and provider reimbursement models (preferably in California) experience.

　　Experience with enterprise-wide and/or cross-functional large scale initiatives with high degree of complexity.

　　Business process, project management and organizational redesign experience.

　　Knowledge of the various provider reimbursement models for the western region of the U.S

　　Leadership with relevant initiatives: Business process, enterprise business project management/consulting, financial strategic planning and analysis, mergers and acquisitions, strategic planning, risk management experience

　　Relationship management experience at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.

　　EducationBachelor's Degree or 14 years of equivalent work experience

　　Pay Range

　　The typical pay range for this role is:

　　$100,000.00 - $231,500.00

　　This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

　　CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

　　You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

　　CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through [email protected] If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.