Easter Seals Jobs

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

The Total Cost of Care team is a pivotal part of Aetna’s Operations team, designed to streamline cost of care management while improving medical trend over the short and long-term. By driving the Total Cost of Care process across lines of business (e.g., Medicare, Medicaid, Commercial, Individual & Family Plan) this leader will be accountable to drive identification of root causes of rising healthcare costs, lead design appropriate solutions, and manage a portfolio of initiatives to improve affordability for our members and plan sponsors.

Major Responsibilities

Governance and Management: Oversee the governance and management of Aetna's Total Cost of Care (TCoC) process, ensuring alignment with enterprise priorities and cost-reduction goals.

Trend Analysis: Analyze medical trend reports to identify rising costs and determine focus areas for root cause analysis. Allocate resources accordingly.

Team Leadership: Lead a multidisciplinary team, including Root Cause Analyst Lead, Cost of Care Strategists, and Program Managers, to identify and prioritize initiatives aimed at reducing medical costs.

Solution Evaluation: Critically evaluate potential solutions by assessing root cause analyses to ensure they are targeted, actionable, and aligned with enterprise goals in partnership with the medical economics unit, our analytics & behavior change team along with cross-functional subject matter experts.

Forum Facilitation: Facilitate and oversee key TCoC forums, driving the review, funding, and prioritization of solutions to address the root causes of rising medical costs.

Strategic Decision-Making: Make strategic decisions on the prioritization and funding of potential solutions, advocating for high-impact initiatives and securing stakeholder buy-in.

Progress Tracking: Direct and oversee the tracking of progress and outcomes for implemented solutions, ensuring accountability and continuous improvement.

Executive Representation: Represent the TCoC team in discussions with executive leadership, providing updates on team performance, advocating for resources, and aligning initiatives with organizational objectives.

Advisory Role: Serve as a trusted advisor, influencing stakeholders across functions to achieve shared outcomes .

Pay Range

The typical pay range for this role is:

$245,000 - $345,000

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 in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

Qualifications

Approximately 12-15 years of experience in a large health insurer or managed care organization.

Strong understanding of the healthcare continuum, including Cost of Care, Medical Trend, Utilization Management, Care Management, Network, Value-Based Contracting, Payment Integrity, and Policy.

Proven experience in strategic planning and driving enterprise-level cost containment initiatives.

Experience supporting a P&L line of business with a strong understanding of profit levers.

Demonstrated ability to manage complex projects and lead cross-functional teams.

Knowledge of healthcare analytics.

Proven problem-solving skills with the ability to identify root causes and drive actionable solutions.

Strong influence and collaboration skills, with a demonstrated ability to work across teams and functions to deliver results.

Strong executive presence with experience presenting to senior leadership.

Demonstrated ability to navigate and succeed in a matrixed organizational structure.

Education

Bachelor’s degree

Master’s degree will be valued

We anticipate the application window for this opening will close on: 02/22/2025

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

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.