"Alerted.org

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 Medicare Performance Management Lead Director will facilitate and support implementation of the business unit’s management process and operating model. This role will assist the Carolinas and Tennessee Medicare Advantage market, 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. Role will report to the Medicare General Manager, NC, SC & TN.

The ideal candidate will not only manage business processes, but also actively influence local market performance by helping to shape and drive the market’s bid strategy. The role will analyze Medicare business performance, expected to review both financial and medical economic information, to be a self-guiding individual that can point to issues that need to be addressed and focused on. Helps to communicate focus activities on diagnosis i.e. unit cost / utilization / value-based models / revenue management. Drives execution of pricing commitments and corrective action plans. Creates 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. The Lead Director role will be a liaison between senior management and local market leaders. This role will identify and lead:

+ Process Improvement opportunities relating to Medicare Advantage

+ Manage process for identification of areas to prioritize performance improvement

+ Review Key Performance Metrics

+ Help 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

+ Developing monthly Performance Excellence agenda and facilitating meetings 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 Enables 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’ 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.

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

+ Demonstrated experience successfully implementing change in complex organizations.

+ Demonstrated superior business process, project management and organizational redesign experience.

+ Demonstrated leadership with relevant initiatives: Business process, enterprise business project management/consulting, financial strategic planning and analysis, mergers and acquisitions, strategic planning, risk management.

+ Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.

Preferred Skills

+ Creating Profitable Partnerships

+ Collaborating for Results

+ Developing and Executing Strategy

+ Communicating for Impact

+ Engaging and Developing People

Preferred Technical Qualifications

Database - SQL Server/1-3 Years/End User

Desktop Tools - Microsoft PowerPoint/1-3 Years/End User Database - Hyperion Essbase/1-3 Years/End User

Database - Microsoft Access/1-3 Years/End User

Management - Management - Medicare/7-10 Years

Finance - Financial analysis - P&L support/7-10 Years

Project Management - Plan management/7-10 Years

Management - Management - Process and quality improvement/7-10 Years

Education

Master's degree preferred

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: 11/08/2025

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.