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

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven 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, Medicare Member Journey Orchestration Center of Excellence will bring deep expertise in Medicare operations, project management, governance, and data-driven decision-making to enhance member experience and deliver strong STARS performance.

In this role, you will develop the strategy and roadmap to streamline and optimize Medicare-related processes to advance a seamless, highly personalized engagement across our member’s unique journey. You will lead cross-functional governance processes and workstreams through strong collaboration to ensure transparency and alignment while delivering industry-leading STARS performance. Establish a strong methodology to deliver on tight timelines while consistently evaluating cutting-edge innovation to further advance our organization.

Fundamental Job Components:

+ Lead cross-business governance for Medicare-specific functions, ensuring alignment.

+ Develops and manages a high-performing team.

+ Design workstreams to execute the Medicare specific stages of the defined engagement strategy.

+ Oversee project management activities, ensuring timely delivery and alignment with strategic goals.

+ Coordinate governance activities with Aetna, CVS Health and other external partners.

+ Develops the processes to maintain and manage a comprehensive Medicare communication inventory.

+ Identify and implement process efficiencies, including automation and digital transformation.

+ Communicates internal and external opportunities with leadership for risk mitigation or innovation.

+ Develops and presents ROI-driven insights and member engagement stories to stakeholders.

+ Establishes the strategy to engage internal leadership/colleagues on the member engagement strategy.

+ Monitor and analyze operational metrics to inform strategy and improve outcomes.

+ Develop and manage budgets for engagement initiatives.

+ Ensure optimal resource allocation and cost-effectiveness across projects and programs.

Required Qualifications:

+ 10+ years of experience in Medicare operations, healthcare management, or related fields.

+ Skilled in planning, executing, and supporting complex initiatives.

+ Proficient in automation tools and digital engagement platforms.

+ Strong collaborator with proven teamwork and stakeholder management abilities.

+ Demonstrates a growth mindset through continuous learning and talent development.

+ Excellent communicator with advanced analytical and strategic thinking skills.

+ Experienced in vendor and partner engagement within healthcare settings.

+ Well-versed in STARS ratings and effective member engagement strategies.

Preferred Qualifications

+ Deep understanding of Aetna systems and governance frameworks.

Education

+ Bachelor’s degree or equivalent work experience

Pay Range

The typical pay range for this role is:

$100,000.00 - $231,540.00

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.

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** .

+ **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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 11/02/2025

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

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.