Lead Director Clinical Innovation

At CVS Health were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nations leading health solutions company we reach millions of Americans through our local presence digital channels and more than 300000 purposedriven colleagues caring for people where when and how they choose in a way that is uniquely more connected more convenient and more compassionate. And we do it all with heart each and every day.

Position Summary

The Lead Director of Clinical Innovation is a critical leader and has responsible for managing and successfully driving the strategic analysis portfolio and initiatives that solves key business problems and creates new sources of value for Grievances & Appeals & Behavioral Health functions within Aetnas Clinical Solutions business unit.

• Leads partners and collaborates with crossfunctional teams to include key internal and external stakeholders to analyze develop test and implement innovative solutions
• Drives or guides innovation scope using a Aetnas Clinical Innovation repeatable methodology across incubation and acceleration phases; idea concept and solution development proof of value management and evaluation pilot planning and delivery scaled readiness value realization and monitoring. Manages and develops interventions and facilitates working sessions as well as delivers all required analysis reporting and presentation materials.
• Supports the evaluation of new concepts emerging innovation trends and clinical operations/offerings benchmarking within the healthcare industry and subsequently develops these trends into new and innovative solutions that solve key business problems and deliver break through value.
• Responsible for developing motivating and managing a highperforming team members to meet organizational goals and objectives while effectively managing change.
• Managing and building a strong team through formal training diverse assignments and coaching mentoring and other development techniques
• Contribute to a motivated work environment by working collaboratively and effectively with key stakeholders across Health Care Business and Aetna Clinical Solutions to achieve common goals.
• Supporting CVS Health in attracting retaining and engaging a diverse and inclusive consumercentric workforce that delivers on our purpose and reflects the communities in which we work live and serve.

Required Qualifications

• 8 years leading complex teams with knowledge of the healthcare system including medical management claims and provider networks.
• Strong interpersonal and communication skills effectively communicate key messages to executive leaders and internal/external stake holders.
• Strong verbal and written communication skills; proven ability to deliver presentations to senior leadership team members
• Strong data and analytics skills to include modeling synthesizing information and deriving key insights.
• Strong understanding within clinical and health plan operations and value creation methodologies including Utilization and Policy Management Care Management and Coordination Quality Compliance and Regulatory Management
• Successful experience in strategy innovation and/or portfolio management within healthcare industry
• High ability to consistently produce and create value and meet/exceed committed performance
• High ability to drive new innovation in highly crossfunctional environments
• Effectively lead and motivate teams to ensure high standards of performance and outcomes

Preferred Qualifications

• Ability to manage and grow a team of individuals to achieve departmental goals at a rapid pace
• Experience creating new capabilities and/or project offerings that result in new value
• Conceptual and structured thinker that has a high degree to generate and translate concepts and ideas into effective strategies that achieve results
• Ability to embrace change uncertainly and shifting priorities and plans to accommodate broader changing objectives and demands
• Demonstrated relationship management skills at the senior level capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.
• Experience with enterprisewide and/or crossfunctional large scale initiatives with high degree of complexity.
• 5 years with demonstrated leadership and experience with the following: Innovation advanced analytics generative AI business process optimization enterprise business portfolio management/consulting financial analysis mergers and acquisitions strategic planning risk management.

Education

Bachelors Degree or equivalent work experience

Masters Degree preferred

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual fulltime 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 shortterm incentive program in addition to the base pay range listed above. This position also includes an award target in the companys equity award program.

Our people fuel our future. Our teams reflect the customers patients members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits investing in the physical emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages our great benefits include:

• Affordable medical plan options a 401(k) plan (including matching company contributions) and an employee stock purchase plan.

• Nocost 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.

For more information visit anticipate the application window for this opening will close on: 05/18/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws.