Lead Director, Business Performance ( Medicaid)

We need to output HTML fragment with sections: About the role? The posting includes a paragraph about CVS Health mission, then Position Summary, then Key Responsibilities (with subheadings), then Required Qualifications, Preferred Qualifications, Education, Pay Range, Benefits, etc. We need to use

for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must not repeat job title as heading. No Job ID. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, application instructions. Also remove "Qualified applicants with arrest or conviction records..." maybe that's EEO? It's a statement about consideration; might be considered EEO boilerplate; we should remove. Also "We anticipate the application window..." is application instruction; remove. Also "Our people fuel our future..." maybe part of benefits? It's generic; could be kept? It's not specific benefit; but it's about culture; maybe we can keep as part of About the role? The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The "Our people fuel our future..." is not EEO but could be considered fluff; but we should preserve substantive information. It's not boilerplate; it's about culture; could be kept in About the role. We need sections only when posting has real specific content. So we need About the role (mission paragraph). Responsibilities (Key Responsibilities). Requirements (maybe Required Qualifications). Qualifications (maybe Preferred Qualifications). Skills? Not explicit; maybe we can combine Required and Preferred as Requirements and Qualifications. Benefits: there is a Benefits section. Pay: Pay Range. Schedule: not mentioned; so we omit Schedule. We must not create Pay/Schedule/Benefits sections unless posting actually states them. Benefits is stated, Pay is stated. So include those. We need to use

• for any list of duties/requirements/benefits. For prose use

  . For headings use

  . We need to preserve all substantive information; do not invent or summarize away detail. So we need to include all details from the posting, but we can format as lists. Let's extract content. Mission paragraph: "We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time." Position Summary: "The Lead Director, Business Consulting is a strategic leadership role responsible for driving enterprise initiatives that support Medicaid business objectives, state program requirements, provider engagement strategies, and community-based partnerships. This leader will oversee a team of Senior Managers and serve as a key liaison between operational, financial, network, compliance, quality, and executive leadership teams. The Lead Director will establish and oversee reporting frameworks for strategic state-sponsored programs, financial performance monitoring, provider partnership initiatives, and community-based organization (CBO) engagement activities. The role will leverage Medicaid claims, operational, and financial data to generate actionable insights that improve member outcomes, provider performance, regulatory compliance, and organizational effectiveness. Additionally, the Lead Director will collaborate with internal subject matter experts and external partners to develop vendor cohorts, performance measurement methodologies, and outcome-based strategies that drive measurable improvements in quality, cost, access, and member experience." Key Responsibilities: there are subheadings: Strategic Program Leadership, Reporting and Analytics, Provider and Community Partnership Strategy, Vendor Performance and Outcome Management, Leadership and Stakeholder Engagement, Organizational Effectiveness. We need to capture each bullet under those subheadings. The text includes sentences; we can turn each sentence into a list item. Let's extract each: Strategic Program Leadership: - Lead the development, implementation, and oversight of reporting solutions supporting strategic Medicaid programs and state-directed initiatives. - Translate complex business objectives into actionable analytics, dashboards, and executive reporting. - Identify opportunities to improve program performance through data-driven insights and operational recommendations. - Serve as a strategic advisor to executive leadership on program outcomes, emerging risks, and performance trends. Reporting and Analytics: - Establish governance and reporting structures for: - State-sponsored Medicaid initiatives - Financial performance and program ROI - Provider partnership performance - Community-based organization engagement and outcomes - Vendor performance and contractual obligations - Develop executive-level scorecards, KPIs, dashboards, and performance monitoring frameworks. - Utilize claims, encounter, utilization, quality, and financial data to identify trends and opportunities for improvement. - Ensure reporting is accurate, timely, actionable, and aligned with organizational priorities. Provider and Community Partnership Strategy: - Partner with provider organizations, value-based care partners, and community-based organizations to evaluate program effectiveness and outcomes. - Support the development of innovative partnerships that address health-related social needs and improve member outcomes. - Monitor partnership performance and recommend corrective actions or expansion opportunities. Vendor Performance and Outcome Management: - Collaborate with subject matter experts across clinical, network, quality, care management, compliance, and finance functions to establish vendor cohorts and performance segmentation strategies. - Develop methodologies that evaluate vendors against defined operational, financial, quality, and member outcome metrics. - Drive accountability through performance reviews, improvement plans, Leadership and Stakeholder Engagement: - Lead, mentor, and develop a team of Senior Managers and business consultants. - Foster a culture of accountability, innovation, collaboration, and continuous improvement. - Build strong relationships with executives and senior leaders across matrixed organizations. - Influence decisions and align stakeholders across multiple business units and competing priorities. - Present program results, insights, recommendations, and strategic analyses to senior leadership audiences. Organizational Effectiveness: - Navigate complex organizational structures to drive cross-functional alignment and execution. - Lead large-scale initiatives with multiple stakeholders and dependencies. - Ensure alignment of program goals with corporate objectives, state requirements, and member needs. Required Qualifications: - 8+ years of progressive leadership experience in healthcare, managed care, consulting, analytics, or business strategy. - 5+ years leading high-performing teams and people leaders. - Significant experience within Medicaid managed care organizations, state Medicaid programs, or healthcare consulting environments. - Demonstrated experience working with healthcare claims and encounter data to drive strategic decision-making. - Experience developing executive-level reporting and performance management frameworks. - Proven success managing cross-functional initiatives involving multiple stakeholders and business units. Preferred Qualifications: - Experience supporting state Medicaid contracts, quality improvement initiatives, or value-based care programs. - Experience working with provider organizations, community-based organizations, and external vendors. - Knowledge of social determinants of health and community partnership strategies. - Experience with vendor oversight and outcome-based performance measurement. - Familiarity with Medicaid quality measures, regulatory requirements, and healthcare reimbursement methodologies. - Experience in a highly matrixed healthcare organization. Education: - Bachelor's degree or equivalent work experience 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. Benefits: - Great Benefits For Great People: We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. - This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. - The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. - Additional details about available benefits are provided during the application process and on Benefits Moments. We should remove the line about application window closing and EEO statement. Also remove "Our people fuel our future..."? It's after Benefits? Actually it's before Benefits: "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." This is generic but not boilerplate; we could keep as part of About the role or a separate section? The instruction: Prefer a few substantive sections over many thin ones. Could incorporate into About the role. Thus About the role section will include mission paragraph plus that culture statement. Now we need to output HTML fragment only. Structure:

  About the role

  mission paragraph + culture statement combined maybe two paragraphs.

  Responsibilities

  • ... etc
  But we have subheadings inside responsibilities; we could keep them as

  ? Not allowed; only

  for section headings. We could keep subheadings as or just include in list items. The instruction: use

  for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So only those headings. Inside we can have

  or

  • . Subheadings not required; we can embed them as part of list items. Thus Responsibilities section will contain a list that includes all the responsibility sentences. Similarly Requirements section for Required Qualifications. Qualifications section for Preferred Qualifications. Education maybe could be part of Requirements? But we have separate Education heading? Not in list of allowed headings but we could include as

    Education? The allowed headings list includes Education? Not listed but we could still use

    for any section heading; the examples are not exhaustive. The instruction: use

    for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It implies we can use other headings but they gave examples. Safer to stick to those headings. Education could be placed under Requirements or Qualifications. But we have separate Education content; we could incorporate into Requirements (maybe as part of Required Qualifications). However the instruction: "Prefer a few substantive sections over many thin ones." So we could combine Education into Requirements. Similarly Skills not present; we can omit. Thus sections: About the role, Responsibilities, Requirements (includes Required Qualifications + Education), Qualifications (Preferred Qualifications), Benefits, Pay. We must not create Pay/Schedule/Benefits unless posting actually states them. Benefits and Pay are present. Now we need to ensure we preserve all substantive information. Let's verify we didn't miss any. From mission: we included. Culture statement: "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." Include. Position Summary: we need to include that as part of About the role? Or maybe we could have a separate section? But we only have About the role; we can include Position Summary there as well. Thus About the role will contain mission paragraph, Position Summary, and culture statement. Now Responsibilities: we need to include all bullet points from each subheading. Let's list them all: Strategic Program Leadership: - Lead the development, implementation, and oversight of reporting solutions supporting strategic Medicaid programs and state-directed initiatives. - Translate complex business objectives into actionable analytics, dashboards, and executive reporting. - Identify opportunities to improve program performance through data-driven insights and operational recommendations. - Serve as a strategic advisor to executive leadership on program outcomes, emerging risks, and performance trends. Reporting and Analytics: - Establish governance and reporting structures for: - State-sponsored Medicaid initiatives - Financial performance and program ROI - Provider partnership performance - Community-based organization engagement and outcomes - Vendor performance and contractual