Manager, OhioRISE Clinical Health Services

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.

Summary This is a full-time remote teleworker position in Ohio. Travel is required up to 10%% of the time to surrounding regions in Ohio, corporate office in New Albany, Ohio, or support to areas in Ohio to assist with member, stakeholder, or direct report needs. Develop, implement, support, and promote Health Services strategies,   tactics, policies, and programs that drive the delivery of quality healthcare   to   establish   competitive business   advantage   for Aetna OhioRISE. Health Services   strategies, policies, and programs which are   comprised   of   quality management and clinical coverage to support current and emerging policies.   The Manager ,   Clinical Health Services   is responsible for   o versight and   m anagement of clinical team processes including the organization and development of high performing teams.   The Manager, Clinical Health Services is responsible for the oversight and management of clinical team processes, and the organization and development of high performing teams. Core business hours are Monday-Friday, 8AM-5PM Position Responsibilities Reinforces clinical philosophy, programs,   policies,   and procedures.    Communicates strategic   plan   and specific tactics to meet plan.    Ensures   implementation of tactics to meet strategic   direction   for cost and quality outcomes.    Creates direction and communicates a business case for change by focusing on and addressing key priorities to achieve business results.    Identifies   opportunities to implement best practice approaches and introduce innovations to better improve outcomes.    Accountable for meeting the financial,   operational,   and quality   objectives   of the unit.    Accountable for the day-to-day management of assigned team for   appropriate implementation   and adherence with established practices,   policies,   and procedures.    Works closely with functional area managers to ensure consistency in clinical interventions supporting our plan sponsors.    Develop, initiate,   monitor   and communicate performance expectations.    May act as a single point of contact for the customer and the Account Team which includes participation in customer meetings, implementation and oversight of customer cultural requirements, and support implementation of new customers.    Participate in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical and performance skills.    Assesses developmental needs and collaborates with others to   identify   and implement action plans that support the development of high performing teams.    Consistently   demonstrates   the ability to serve as a model change agent and lead   change   efforts.    Accountable for   maintaining   compliance with policies and procedures and   implements   them at the employee level.    Ability to evaluate and interpret data,   identify   areas of improvement, and   focuses   on interventions to improve outcomes.   Ability to proactive address any performance management needs for direct reports Ability to met or exceed KPI and business metrics for the direct team that is being managed Working with internal, external, and state regulatory personnel with professionalism and provide prompt remediation processes Some t ravel   required   per organizational needs as applicable to   role   and responsibilities not limited to home base   office   in New Albany, OH.