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Lead Director, Clinical Business Support Specialist

AT CVS Health
CVS Health

Lead Director, Clinical Business Support Specialist

Chicago, IL

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 SummaryWe have a preference for qualified candidates in the New York metro area for this opportunity. If outside NYC/NJ, additional travel will be requiredThe Lead Director, Clinical Business Support Specialist will reside on the Clinical Business Support team within Sales Enablement and will be responsible for the provision of multi-lateral clinical support to field and account teams, employers, and healthcare consultants.This role will support clinical discussions, presentations, and activities to help our commercial plan sponsors advance towards the quintuple aim (reducing costs; improving population health; optimizing the patient & provider experiences; and driving awareness of equity and inclusion).To achieve this, the Lead Director, Clinical Business Support Specialist will participate and demonstrate leadership in the following core activities: periodic plan performance reviews; high-cost claimant reviews; reviewing company's clinical model(s), programs, and point solutions; developing health promotion and health prevention strategies; RFI/RFP support, capabilities and finalist meetings; partnering with consultants, brokers and producers; answering clinically related accounts questions; and participating in industry related trade groups and activities.This role will also be responsible for brining the voice of the customer back to the organization to ensure that their needs are being met through our product and services we offer. This will involve partnering with numerous stakeholders across Aetna, as well as with business partners with our PBM and consumer business.Many of these client meetings will be held in person, so this role will require a moderate level of business travel.

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Required Qualifications
5-10+ years experience with the above as well as large national commercial health plan experience.Clinical training and background.Licensed healthcare professional.Ability to travel 25% - 50%.

Preferred Qualifications
RN or Advanced Practice Nurse (RNs, NPs, PA, PhD., Dr.PH, DrSC, etc.)

Education
BSN or relevant Bachelors. Masters preferred (MSN, MPH, MS, MHA, MMM, MBA, etc.) or equivalent 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 peopleWe 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/benefitsWe anticipate the application window for this opening will close on: 09/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Chicago, IL, USA
Job ID: CVS-R0624924_1002
Employment Type: Other

Perks and Benefits

  • Health and Wellness

    • Health Insurance
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • HSA
    • HSA With Employer Contribution
    • Pet Insurance
    • Mental Health Benefits
  • Parental Benefits

    • Fertility Benefits
    • Adoption Assistance Program
    • Family Support Resources
  • Work Flexibility

    • Flexible Work Hours
    • Remote Work Opportunities
    • Hybrid Work Opportunities
  • Vacation and Time Off

    • Paid Vacation
    • Paid Holidays
    • Personal/Sick Days
  • Financial and Retirement

    • 401(K) With Company Matching
  • Professional Development

    • Tuition Reimbursement
  • Diversity and Inclusion

    • Employee Resource Groups (ERG)
    • Diversity, Equity, and Inclusion Program