Lead Director Cost Management Solutions Meritain TPA

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

Leads team of approximately 6 employees and overall scope of 2530 to develop enterprisewide solutions to address business problems resulting in lower cost of care for clients and members enabling the organization to be competitive in the marketplace and effectively serve its customers.

Responsible for the product portfolio market analysis creative and new solutions pricing and profitability strategies measures performance and ensures regulatory compliance to achieve business objectives and drive growth in the competitive TPA market. Collaborates across the organization to optimize the achievement of strategic business objectives to include profitable growth and improved organizational effectiveness.

**Candidates may reside anywhere in the US. Position may be remote or hybrid depending on candidate location and commute to office.

Requirements

• Responsible for cost management products savings revenue financial results and commitments.

• Works closely with sales account management and operations to resolve any problems and ensure client broker consultant and provider needs are being met.

• Evaluates new business opportunities fosters innovation and adapts strategies to meet evolving market conditions and industry trends.

• Explores opportunities for digital transformation process optimization and the adoption of new technologies to enhance operational efficiency total cost of care savings and plan outcomes.

• Contributes to planning budgets for strategic initiatives and programs that drive organizational growth operational effectiveness and innovation.

• Contributes by conducting market research analyzing customer needs and monitoring industry trends to identify market opportunities customer pain points and competitive dynamics.

• Communicates with crossfunctional teams including operations sales regulatory/compliance and finance to ensure alignment of product strategy and gotomarket plans.

• Identifies and pursues new business opportunities to drive growth and revenue.

• Provides regular reports and updates regarding business operations strategic initiatives financial performance and key achievements

• Provides leadership mentorship and guidance to the team fostering a culture of collaboration innovation and continuous learning.

Background/Experience Required

• Minimum 8 years in healthcare industry experience in product finance operations and/or related disciplines

• Proven leadership/management experience

• Market exposure to account management sales brokers and clients

• Proven ability to analyze and interpret complex data sets to develop actionable strategies.

• Strong communication skills including experience presenting to senior leadership.

• Strong analytical abilities with proficiency in data interpretation and financial modeling.

• Ability to influence and drive change within a complex organizational structure.

• Growth mindset creative solutions problem solver quick decision maker

• Selfmotivator works well independently

• Strong leadership collaboration and teamwork

Education

• Bachelors degree preferred/specialized training/relevant professional qualification

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: 05/24/2025

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