Lead Director – Admission Prevention, Clinical Program Design & Enablement

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Define requirements for clinical programs, including workflow intentions and success metrics for intricate care coordination initiatives.

• Collaborate with program leaders in care management, acute escalations, supportive care, and additional programs.

• Formulate requirements and assess both Epic and non-Epic solutions.

• Document workflows and establish measures for program success.

• Collaborate with Informatics and Product from design phase through to go-live and continuous optimization.

• Develop prioritized clinical requirements and use cases for technology roadmaps.

• Convert clinical program logic and workflows into actionable technical specifications.

• Lead the clinical-operations workstream for complex, multi-team launches.

• Validate delivered features through clinical acceptance testing and user acceptance testing (UAT).

• Create scalable frameworks to measure program success.

• Transform plain-language metrics into detailed specifications for technology and data science teams.

• Monitor performance data, identify anomalies, and collaborate with Analytics to address issues.

• Represent Population Health in cross-functional discussions.

• Lead, develop, and retain a high-performing team.

• Prepare executive-level briefings, strategic documents, and presentation materials.

• Identify capability gaps and present risks along with suggested solutions.

⛳️ Requirements

• 10–15 years of experience in healthcare program management, population health, or care delivery operations.

• Proven track record of managing complex, multi-stakeholder programs.

• Extensive working knowledge of EHR systems; Epic experience is strongly preferred.

• Capability to translate clinical needs into viable, buildable requirements and evaluate technical trade-offs.

• Direct experience with build/configuration is advantageous but not mandatory.

• Ability to influence technical and build teams as a non-owning collaborator.

• Familiarity with clinical program design logic and technical systems, including Epic, patient segmentation data, and data warehousing concepts.

• Excellent written communication skills with the ability to produce executive-level materials.

• Experience driving clinical-operations workstreams for high-stakes go-lives across matrixed teams.

• Strong analytical skills to identify data issues and determine appropriate escalation paths.

• Experience in people leadership, particularly in developing early-career talent.

• High inclination towards action and comfort in ambiguity.

• Ability to clearly and promptly identify risks to senior leadership.

• Bachelor's degree is required.

🏝️ Benefits

• A mission-driven career that influences change and significantly enhances health outcomes for Medicare patients.

• Paid vacation and sick leave.

• 401K match options for retirement investment.

• Comprehensive health insurance, including vision and dental coverage.

• Opportunities for leadership development.

• Stipends for continuing education.

• New centers and flexible work environments.

• Opportunities for significant responsibilities and rapid advancement.

• CVS Health bonus, commission, or short-term incentive program.

• Target awards in the company’s equity award program.

• Medical, dental, and vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting the physical, emotional, and financial well-being of employees and their families.