Executive Director, Medical Cost Strategy and Analytics - Oak Street Health

Executive Director, Medical Cost Strategy And Analytics

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.

Oak Street Health, a CVS Health company, is committed to delivering high-quality care to older adults on Medicare, particularly in underserved communities. We focus on the kind of healthcare you'd want for your own familypersonalized, accessible, and effective.

Our mission is to rebuild healthcare around wellness and positive outcomes, not volume. Through dedicated care teams, we take the time to understand each patient and provide the support they need to live healthier, fuller lives.

We emphasize value-based care, especially full-risk / capitated models, and leverage care management strategies to improve clinical and financial outcomes.

The Executive Director, Medical Cost Strategy and Analytics will report to the Chief Clinical Officer and lead enterprise strategy for managing Part A and emergency department medical costs. This includes developing frameworks for admissions, readmissions, post-acute care, and ED utilization.

This role will collaborate closely with medical economics, analytics, and data science teams to build performance metrics, identify opportunities, and drive innovation. It also involves managing vendor partnerships and working directly with national, regional, and clinic leaders to improve local cost performance.

Additionally, the Executive Director will partner with the Chief Population Health Officer on Part B cost strategies to ensure alignment across the organization. This is a high-impact, fast-paced role requiring strong leadership, analytical acumen, and cross-functional collaboration.

Key Responsibilities :

• Serve as enterprise lead and accountable executive for Part A medical costs strategy (including admissions, readmissions, post-acute spending), emergency department utilization, and intersection with delegated Utilization Management.
• Collaborate closely with analytics, reporting, and data science functions to establish and evolve measurement frameworks and performance reporting.
• Oversee the team that leads a portfolio of initiatives in partnership with medical economics, analytics, and data science :
• ADK reporting (leading and lagging indicators) including avoidable admissions
• Readmission rate (leading and lagging indicators)
• EDK reporting (leading and lagging indicators) including avoidable ED visits
• Admission, readmission, and ED visit drivers
• ADK bonus program
• Risk stratification
• Other admission prevention initiatives as assigned
• Lead and develop the team that partners with regional and clinic-based leaders to improve local performance in medical cost operations and outcomes.
• Partner with corporate and P&L leaders to identify and pursue performance improvement opportunities, contribute to new care model program design, etc.
• Convene and collaborate across central teams, field, and CVS leaders to ensure effective implementation of clinical and business priorities.
• Serve as a member of the Chief Clinical Officer's leadership team, working across functional areas to drive clinical and financial results.
• Ensure accountability to key medical management metrics, including quality, utilization, and financial outcomes.

Qualifications :

Pay Range :

The typical pay range for this role is : $131,500.00 - $303,195.00

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 :