Job Description:
• Define clinical program requirements, workflow intent, and success criteria for complex care coordination programs
• Partner with program owners across care management, acute escalations, supportive care, and other programs
• Shape requirements and evaluate Epic and non-Epic solutions
• Document workflows and define program success measures
• Partner with Informatics and Product from design through go-live and ongoing optimization
• Develop prioritized clinical requirements and use cases for technology roadmaps
• Translate clinical program logic and workflows into actionable technical requirements
• Drive the clinical-operations workstream of complex, multi-team launches
• Validate delivered features through clinical acceptance and UAT
• Develop scalable frameworks for measuring program success
• Translate plain-language metrics into specifications for technology and data science teams
• Monitor performance data, flag anomalies, and partner with Analytics to resolve issues
• Represent Population Health in cross-functional forums
• Lead, develop, and retain a high-performing team
• Prepare executive-ready briefings, strategy documents, and slide content
• Identify capability gaps and surface risks with recommended paths forward
Requirements:
• 10–15 years in healthcare program management, population health, or care delivery operations
• Demonstrated ownership of complex, multi-stakeholder programs
• Deep working fluency with EHR systems; Epic strongly preferred
• Ability to translate clinical needs into feasible, buildable requirements and assess technical tradeoffs
• Direct build/configuration experience is a plus, not a requirement
• Ability to influence technical and build teams as a non-owning partner
• Comfort with clinical program design logic and technical systems, including Epic, patient segmentation data, and data warehousing concepts
• Exceptional written communication and ability to produce executive-level materials
• Ability to drive clinical-operations workstreams of high-stakes go-lives across matrixed teams
• Strong analytical ability to identify data issues and determine escalation paths
• People leadership experience developing early-career talent
• High bias toward action and comfort with ambiguity
• Ability to flag risks clearly and early to senior leadership
• Bachelor's degree required
Benefits:
• Mission-focused career impacting change and measurably improving health outcomes for medicare patients
• Paid vacation and sick time
• Investment/retirement 401K match options
• Health insurance, vision, and dental benefits
• Opportunities for leadership development
• Continuing education stipends
• New centers and flexible work environments
• Opportunities for high levels of responsibility and rapid advancement
• CVS Health bonus, commission or short-term incentive program
• Award target in the company’s equity award program
• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources supporting the physical, emotional, and financial well-being of colleagues and their families