Lead Director - Health Engagement, Medicare Healthy Outcomes Team

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. Aetna Clinical Solutions is seeking a strategic and results-oriented Director, Health Engagement, to join the Medicare Healthy Outcomes Team (HOT) and lead Medicare care delivery population health outreach programs. This leader is accountable for innovating and driving omnichannel outreach programs that advance Stars quality health outcomes and strengthen member health engagement. This role leads a team of managers and support professionals to translate strategy into day-to-day operational plans, partners across teams to drive results, and helps ensure work is aligned to business priorities, quality standards, and enterprise expectations. The Director leads complex, cross-functional initiatives that improve health outreach operations, enhance care coordination and drive quality health outcomes.

Summary Leadership Leads the development, direction, execution, and continuous improvement of Medicare health engagement programs driving quality outcomes, operational excellence, and business value. Align member health engagement activities with enterprise goals and Medicare clinical quality program objectives. Lead transformation efforts that improve member health engagement, operational performance, and cost effectiveness. Identify opportunities to expand automation, digital outreach, and AI-enabled engagement solutions.   Operations Oversee day-to-day health engagement operations, resource allocation and workload management ensuring achievement of performance targets and member engagement goals. Provides leadership and oversight for health outreach operations, ensuring efficient program delivery and effective resource utilization. Develop, monitor and improve key performance indicators, including outreach timeliness, productivity, care gap closure, health outcomes improvement and member experience measures. Establish operational standards, workflows, and governance processes to ensure consistent execution across health outreach programs. Drive continuous improvement initiatives to increase efficiency and reduce operational variation.   Stakeholder Partnership Build strong partnerships across Quality, Medicare Stars, Clinical Care Delivery, Care Management, Contact Center Operations, Analytics, Product, and Technology teams. Serve as a key liaison between Healthy Outcomes team and business leaders to ensure alignment of priorities and performance expectations with enterprise and organizational goals. Analyzes program performance, quality outcomes, and value drivers to inform strategic decision-making and deliver actionable insights to senior leadership.   Quality & Performance Improvement Ensures health outreach operations align with Medicare stars quality measure specifications and performance targets. Establishes key performance indicators to monitor effectiveness, drive accountability, and support business decisions. Evaluates outreach program performance through audits, operational reviews, performance trends and data analysis to identify opportunities, mitigate risks, and improve outcomes. Ensure learning and quality programs develop colleagues to deliver high-quality health engagements and improve member health outcomes.   Talent Leadership & Organizational Development Leads and develops a team of managers and support professionals, fostering a high-performing, accountable, and innovative organization focused on achieving business outcomes. Foster a culture of accountability, collaboration, innovation, and continuous learning. Drive colleague engagement and performance