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Job Details

CVS Health

Medicare Director of Stars - Heartland Market





Saint Louis, Missouri, United States

Job Description
**The Stars Director role is a new opening on this team and we are seeking qualified candidates in the Heartland Market who will oversee a very large and complex market consisting of nine states.**

Responsible for directing the overall development, management, and implementation of Aetna’s Local Medicare Stars strategies for a region/market to ensure alignment around strategy, investment, activity, and innovation between Stars corporate and market partners.

Work in a highly matrixed organization and collaborates closely with Regional Stars Strategy Director to execute corporate Stars strategy with consideration for local market factors, nuances, and relationships.

Leverages Stars dashboards and tools to conduct data analysis for to identify areas of opportunity and determine analytic priorities specific to Stars performance for the local market.

Drive alignment between market bid development and Stars priorities to support product stability and access to care.

Partner with the Clinical Strategist and Engagement Manager to accelerate clinical improvement at the provider level through improved data collection and action planning
Identify local initiatives through collaboration with Stars Strategy Director to supplement corporate strategy and fit market dynamics.

Drive Non-VBC provider engagement and performance.

Pay Range
The typical pay range for this role is:
Minimum: 100,000
Maximum: 221,000

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications
- Experience driving Stars strategy and results with a Medicare Advantage carrier.
- 5+ years of CMS Stars, clinical quality, or healthcare quality improvement leadership experience required, with
- Must be a strong public speaker with excellent written and verbal communication skills.
- Strong time management, project management, organizational, research, analytical, negotiation, communication, and interpersonal skills.
- Strong proficiency in Microsoft Office applications (Outlook, Word, Excel, Power Point, etc.), including experience running web based meetings.
- Demonstrated ability to lead people and get results through others.
- Must be able to manage ambiguity and work in fast paced environment.
- Ability to organize and manage multiple priorities.
- Excellent stakeholder relationship management skills.
- High level of confidence and interpersonal savvy.

COVID Requirements

COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications
Experience working within a large matrix organization to drive collaboration and results across multiple business areas.
Experience with developing effective partnerships with health care providers to achieve goals under value-based arrangements

Bachelor's degree or equivalent experience.

Business Overview
Bring your heart to CVS Health
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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.