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CVS Health Care Model Management Lead Director in Work At Home, Illinois

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, Care Model Management, is responsibility for driving enterprise care model strategy, supporting execution of key initiatives, and ensuring consistent operational alignment across the Care Model Management Office. This role will lead development of senior leadership materials, maintain and evolve core framework documents—including the enterprise member journey—and ensure disciplined governance and tracking of multi-year care model priorities. The Lead Director operates as a connector across business, clinical, and operational teams to translate strategy into actionable plans that support improved member experience, clinical outcomes, and organizational performance.

Strategy Development & Execution

· Partner closely with the Executive Director to define, refine, and operationalize the enterprise care model strategy.

· Lead cross-functional development of strategic roadmaps, workstreams, and success metrics.

· Support enterprise alignment by ensuring strategies and priorities are consistently communicated, understood, and tracked across teams.

Leadership Support & Executive Materials

· Develop high-quality presentations and reports for senior leadership forums, including ELT updates, strategy reviews, and governance routines.

· Translate complex information into clear narratives, insights, and recommendations that support decision-making.

· Manage pre‑read, briefing, and executive prep processes to ensure clarity, alignment, and strategic coherence.

Framework Ownership & Governance

· Maintain the enterprise member journey framework and ensure updates reflect evolving business needs, clinical capabilities, and member expectations.

· Oversee creation and maintenance of core care model artifacts (blueprints, capability maps, governance documents, etc.).

· Ensure documentation is accurate, accessible, and integrated into enterprise planning and execution routines.

Cross‑Functional Collaboration

· Serve as a strategic liaison between Care Model Management and clinical, operations, digital, analytics, and product teams.

· Facilitate priority alignment, milestone tracking, and risk mitigation across multiple workstreams. · Lead working groups or committees as needed to drive progress on care model initiatives.

Performance Tracking & Insight Generation

· Support development of success measures and KPIs for care model initiatives.

· Partner with analytics to translate performance results into actionable insights.

· Recommend course corrections and opportunities to enhance member experience and care outcomes.

Required Qualifications

8+ years experience in healthcare strategy, care delivery transformation, program management, or a related field.

· Proven ability to operate at a senior level, influencing cross-functional stakeholders and supporting executive decision‑making.

· Strong strategic thinking, structured problem solving, and analytical skills.

· Exceptional communication and executive presentation capabilities.

· Experience managing complex, multi-stakeholder initiatives across clinical and operational domains.

Preferred Qualifications

Familiarity with care delivery models, member experience design, and clinical workflows preferred.

Education Bachelor’s degree in healthcare administration, nursing, public health, related area or equivalent 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.

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.

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 (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 05/01/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.

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