Cvs health

Overview

The Senior Principal Clinical Leader provides strategic leadership and operational oversight for clinical care management across Aetna's Michigan and Illinois Integrated Plans.

About Cvs health

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.

Requirements & Eligibility

• Active unrestricted clinical license in applicable functional area. (e.g. RN, LCPC, LCSW)
• 10+ years Managed Care experience required; Medicare and Medicaid including LTSS and DSNP, highly preferred
• 7+ years of Care Management operations and leadership experience, including leading leaders and developing high-performing teams
• Leading change in a growth business
• Experience leading the strategic design, execution, and outcomes management of Care Management programs
• Experience planning, leading and organizing the resources of a large and growing team and developing talent

Key Responsibilities

• Lead the strategic growth and enhancement of applicable CM program capabilities
• Inform model of care and workflow best practice in the development of new technology platforms and tools
• Collaborates with executive leadership throughout the organization to develop and implement program strategies
• Responsible for cross-functional integration of care and case management, utilization management, program operations with core
• Responsible for cost savings and quality improvement projects through successful implementation
• Leads and manages all aspects of projects and/or programs
• Accountable for relationship management with relevant state authorities and the development, vetting and reporting of state compliance and quality measures
• Lead recruitment and operating model development to meet operational growth needs