[Hiring] Lead Director, Business Performance @CVS Health

Role Description

The Lead Director, Business Consulting is a strategic leadership role responsible for driving enterprise initiatives that support Medicaid business objectives, state program requirements, provider engagement strategies, and community-based partnerships. This leader will oversee a team of Senior Managers and serve as a key liaison between operational, financial, network, compliance, quality, and executive leadership teams.

The Lead Director will establish and oversee reporting frameworks for strategic state-sponsored programs, financial performance monitoring, provider partnership initiatives, and community-based organization (CBO) engagement activities. The role will leverage Medicaid claims, operational, and financial data to generate actionable insights that improve member outcomes, provider performance, regulatory compliance, and organizational effectiveness.

Additionally, the Lead Director will collaborate with internal subject matter experts and external partners to develop vendor cohorts, performance measurement methodologies, and outcome-based strategies that drive measurable improvements in quality, cost, access, and member experience.

Qualifications

• 8+ years of progressive leadership experience in healthcare, managed care, consulting, analytics, or business strategy.
• 5+ years leading high-performing teams and people leaders.
• Significant experience within Medicaid managed care organizations, state Medicaid programs, or healthcare consulting environments.
• Demonstrated experience working with healthcare claims and encounter data to drive strategic decision-making.
• Experience developing executive-level reporting and performance management frameworks.
• Proven success managing cross-functional initiatives involving multiple stakeholders and business units.

Requirements

• Experience supporting state Medicaid contracts, quality improvement initiatives, or value-based care programs.
• Experience working with provider organizations, community-based organizations, and external vendors.
• Knowledge of social determinants of health and community partnership strategies.
• Experience with vendor oversight and outcome-based performance measurement.
• Familiarity with Medicaid quality measures, regulatory requirements, and healthcare reimbursement methodologies.
• Experience in a highly matrixed healthcare organization.

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.
• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.

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.