Lead Director - Medical Economics

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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.

We do it all with heart, each and every day.

Oak Street Health is an advanced primary care value‑based care provider. OSH has risk arrangements with over 20 payers, including all of the large national payers. This role will oversee a team responsible for monthly medical cost trend analytics and collaborative efforts to deliver focused analytical research, complex financial modeling, and business decision support. You will provide oversight of all activities related to medical cost trend analytics, including creating timely data reconciliation and reporting, collaborating with Oak Street leadership, and developing creative solutions to drive medical cost improvement.

The ideal candidate brings extensive medical economics knowledge and understanding, expert data mining, outside‑the‑box ਕੀਤਾ adaptable thinking, and the ability to turn data into actionable insights. Strong relationship‑management skills and a proven ability to lead and motivate high‑performing teams are essential. A proactive, self‑driven approach and the ability to thrive in a fast‑paced, collaborative environment are critical for success. This role offers broad organizational exposure and frequent engagement with senior leaders.

• Establish and maintain productive, complex, high‑value initiatives.
• Work collaboratively across executive leadership, population health, and finance to ensure all constituent questions and needs are met on a timely basis.
• Assist in developing workflows and strategies to integrate data and reporting effectively.
• Analyze regional and payer‑specific performance against external benchmarks to identify opportunities for improvement.
• Lead the team to leverage reporting/data to monitor performance against financial, clinical, cost, and efficiency targets.
• Perform complex financial assessments to support decision‑making and identify areas for improvement and efficiencies.
• Advocate for and drive strategic consultation on Close actions and tactics to enhance contract performance.

• 10+ years of demonstrated leadership and project‑management experience.
• 8+ years of experience in model development, particularly in value‑based care financial models and risk‑based arrangements.
• Proven medical economics experience along with contract analytics.
• Proven leadership and people‑management skills, with a track record of motivating high‑performing teams.
• Proven experience with SQL and Excel.
• Proven health‑plan knowledge.
• Proven knowledge of clinical models, technical attribution logic, and medical‑management concepts.
• Proven expertise in complex data collection, modeling & analysis, and turning data into information and influencing business decisions.site.

• Prioritize & manage multiple initiatives while managing customer expectations and business priorities.
• Excellent communication skills and collaboration with internal & external constituents.
• Adept at execution and delivery, with strong
  
  Most planning, delivery, and support skills.
• Mastery of problem‑solving and decision‑making skills, with a growth mindset and commitment to continuous development.
• Experience in Value‑Based Care financial models.
• Experience in risk‑ ---------- arrangements and Value‑Based Care in Government services.
• Advanced skills in Excel and SQL.
• Fellow, Society of Act электро.

Bachelor’s degree in a related field is required.

$–$. This 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…