Lead Director, National VBC Performance Planning & Insights

Lead Director, National VBC Performance Planning & Insights

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. The Lead Director, National VBC Performance Planning & Insights will act as a strategic leader driving performance excellence across Aetna's Value-Based Care (VBC) portfolio.

This role is accountable for aggregating and analyzing performance data, identifying key performance drivers, and delivering actionable insights that guide business decisions for national and local providers. The Director will also play a key role in supporting the development and tracking of performance improvement programs and lead executive-level reporting and performance reviews.

VBC Performance Reporting

Lead the aggregation, reporting, and analysis of VBC performance data nationally and across all regions and lines of business.

Develop and maintain executive dashboards and reports that provide visibility into key performance metrics and trends at the national and local level.

Partner with cross-functional stakeholders to ensure data accuracy, integrity, and consistency.

Work with Center of Excellence team to roll out and provide education and training for new reports to regional teams.

Performance Insights & Action Planning

Analyze key performance indicators (KPIs) related to revenue, cost and quality to identify trends and areas for improvement.

Collaborate cross-functionally with markets and shared services departments to support development of provider performance improvement initiatives.

Establish a program management framework for VBC improvement initiatives monitoring the impact of efforts and adjusting strategies accordingly.

Work closely with Medicare Quality team to ensure that reporting highlights areas of improvement at a provider level to improve quality scores.

Executive Reporting & Communication

Create executive-level materials such as performance summaries, visualizations, and data-driven recommendations for performance reviews.

Translate complex data into clear, actionable insights for senior leadership.

Support ad hoc analysis and presentations as needed.

Gather feedback from performance management reviews on initiatives, create implementation plans, and work with National and Regional Teams to implement plans turning into SAIs.

Required Qualifications

A minimum of 10 years experience with several of the following : medical economics, management consulting, project consulting, business process consulting, financial strategic analysis.

Understanding of value-based care, including risk adjustment methodologies (e.g., HCC coding), quality measurement frameworks, and payer-provider collaboration.

Strong analytical skills, with the ability to translate complex data into actionable reporting and insights.

Excellent communication and collaboration skills, demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.

Experience with enterprise-wide and / or cross-functional large scale initiatives with high degree of complexity.

Demonstrated experience successfully implementing change in complex organizations.

Preferred Qualifications

Consulting experience.

Skilled in cross-functional executionpartnering with finance, actuarial, clinical, and operations teams.

Education

Bachelor's degree preferred or a combination of professional work experience and education.

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 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 :

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 / benefits

We anticipate the application window for this opening will close on : 10 / 31 / 2025.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex / gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.