Position Summary: As the Enterprise Health Plan Director, you will have the opportunity to lead a team of Enterprise Health Plan Senior Advisors who will own a Book of Business comprising of 10-12 Health Plan clients. In addition, the Enterprise Health Plan Director will also directly own 1 large National Health Plan relationship. In this role the Director will be responsible for developing our Enterprise Health Plan strategy, value proposition, aligning goals and targets. This individual will have direct interaction with Executive Leadership both internally and externally. As a seasoned healthcare leader, you will oversee 3-5 direct reports that will be responsible for growing and maintaining our Enterprise relationship. Your primary focus as a Health Plan Director is to lead and develop the Enterprise team helping to set and execute on overall strategy that will drive results. In addition the individual should be able to work cross functional across the organization to coordinate activity, drive innovation and meet market needs.
Primary Responsibilities include:
- Leading the direct activities of the strategic account team by providing the overall direction and strategy
- Being accountable for growth targets including Dispensing Growth, Network retention, specialty, Coram, Omnicare, etc.
-Developing and maintaining Sr. Level relationships across various organizations
- Influencing client up-sell opportunities, growth, and retention by clearly communicating the client vision amongst the account team
- Leading the team with strategizing, planning, and other tools to meet client needs
- Managing contracts and ensuring that CVS Health solutions are effectively positioned to result in increased revenue
Your success as an Enterprise Health Plan Director will be driven by your ability to grow revenue for the assigned book of business and achieve above average client satisfaction scores. Your understanding of the Healthcare landscape and managed care environment as well as keeping up to date on market trends will enable you to position CVS Health programs and solutions effectively to client decision makers. The contributions you will make as a Health Plan Director will position CVS Health for long term growth in the competitive pharmacy and healthcare marketplace.
The candidate can be located in one of the CVS Corporate Hubs or remotely. You must have ability to travel up to 40% of the time.
Required Qualifications:*8+ years of cumulative experience managing a large client account in the PBM, health plan, or related healthcare field with a focus on account ownership and strategy.
* Must be able to travel up to 40%.
* Travel may require but is not limited to flights, overnight stays, local travel, travel on short notice and other travel deemed necessary by the Company.
* Must possess a valid and current driver’s license.
* Must possess personal vehicle sufficiently reliable to meet the requirements of the job and is appropriately insured.
Preferred Qualifications:*10+ years of cumulative experience managing a large client account in the PBM, health plan, or related healthcare field with a focus on account ownership and strategy.
*Prior experience leading a team of sales and account management professionals
*Knowledge of Overall Healthcare and Pharmacy Landscape
*Strong understanding of Health Plan Payors and specific lines of business – Medicaid, Medicare, Commercial, Exchanges
*Strong communication skills both written and verbal – individual needs to be comfortable presenting to Sr. Executives, Subject Matter Experts, Pharmacy, Medical Affairs etc.
*Proficiency with Microsoft Office including PowerPoint, Excel, Word etc.
* RxClaim experience
Education:*Bachelor’s Degree required. Master’s degree preferred.
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.
CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW
and EEO IS THE LAW SUPPLEMENT
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking AA EEO CVS Health
For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/