CVS Health
Remote/Telecommute
Exec Director, Performance Mgmt, Regulatory Reporting, and Strategy
Posted over 1 month ago
Job Description
Job Description
This role is responsible for:
1. Oversight/reporting of regulatory requirements for NCQA Accreditation, state requirements, etc. to include HEDIS reporting and HEDIS data roadmap/strategy
2. Guide the capital investment roadmap of the HEDIS engine (QME) modification to report ECDS measures required for reporting in 2025
3. Lead and/or collaborate with the appropriate business unit on Medicaid Value Based Solution reporting
4. Expand to include some aspects of the Medical Economics Unit as related to clinical services reporting
5. Manage vendor reporting, strategy, and evaluations including ROI, etc. CESI
6. Ad hoc reporting needs to support CESI operational excellence/performance improvement and strategy
Required Qualifications
Candidate can work from any US state and work remotely.
* 15+ years financial management experience, including strategic and business planning, accounting, and financial analysis
* Experience supporting a P&L
* Extensive experience in healthcare, managed care insurance or financial services
Preferred Qualifications
HEDIS/NCQA/CMS Regulations
Education
Masters Degree in Business or Management MBA/FSA/CPA preferred
Undergraduate degree in Finance, Accounting, Actuarial Science or similar disciplines generally required
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
This role is responsible for:
1. Oversight/reporting of regulatory requirements for NCQA Accreditation, state requirements, etc. to include HEDIS reporting and HEDIS data roadmap/strategy
2. Guide the capital investment roadmap of the HEDIS engine (QME) modification to report ECDS measures required for reporting in 2025
3. Lead and/or collaborate with the appropriate business unit on Medicaid Value Based Solution reporting
4. Expand to include some aspects of the Medical Economics Unit as related to clinical services reporting
5. Manage vendor reporting, strategy, and evaluations including ROI, etc. CESI
6. Ad hoc reporting needs to support CESI operational excellence/performance improvement and strategy
Required Qualifications
Candidate can work from any US state and work remotely.
* 15+ years financial management experience, including strategic and business planning, accounting, and financial analysis
* Experience supporting a P&L
* Extensive experience in healthcare, managed care insurance or financial services
Preferred Qualifications
HEDIS/NCQA/CMS Regulations
Education
Masters Degree in Business or Management MBA/FSA/CPA preferred
Undergraduate degree in Finance, Accounting, Actuarial Science or similar disciplines generally required
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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