CVS Health

Lead Director, Admission Prevention - Clinical Program Design & Enablement

CVS Health$100K — $231K *
US-AnywhereRemote in Illinois, US
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 10-15 years in healthcare program management or population health operations
  • Deep knowledge of EHR systems, particularly Epic
  • Proven credibility with technical teams as a non-owning partner
  • Fluent in both clinical design logic and technical systems
  • Exceptional ability to create executive-level written materials
  • Strong analytical skills to interpret data and identify issues
  • Experience in leading and developing early-career talent

Responsibilities

  • Define clinical program requirements for key initiatives to enhance patient health
  • Develop and prioritize clinical requirements for technology roadmaps
  • Lead launches, ensuring that features meet clinical needs through validation
  • Create frameworks for measurable program success across various stakeholders
  • Monitor and analyze program performance data to resolve anomalies
  • Represent Population Health in cross-functional meetings as a thought partner
  • Develop strategic documentation and presentations under time constraints

Benefits

  • Impactful career contributing to improved health outcomes for older adults
  • Flexible work environments with new centers opening
  • Comprehensive health, vision, and dental insurance
  • Paid vacation, sick leave, and 401K match options
  • Leadership development and continuing education opportunities
  • High potential for career advancement and responsibility
Full Job Description
Position Summary

Oak Street Health®, a part of CVS Health, helps older adults stay healthier and live fuller lives through our 230 centers across 27 states. Our value-based care model helps us consistently deliver better patient experiences and outcomes.

As a Lead Director of Population Health defines the clinical program requirements, workflow intent, and success criteria that drive technology enablement for complex care coordination programs directly impacting high-risk patient outcomes.

This role is the connective tissue between what clinical leadership needs and what our systems can deliver. You will work with each program owner - care management, acute escalations, supportive care, and others - to shape the right requirements, bring an informed perspective on the right Epic and non-Epic solutions, document workflows, and define how success is measured. You will partner closely with Informatics and other key stakeholders, moving fluidly between operations, technology, and data. This role owns the what and why; our technical partners own the how.

Clinical Program Design & Enablement:
  • Own definition of clinical requirements for key OSH initiatives keeping patients healthy and out of the hospital, and partner with Informatics and Product from design through go-live and ongoing optimization.
  • Develop prioritized clinical requirements and use cases to inform Epic and non-Epic technology roadmaps, in partnership with Informatics and Product. Translate clinical program logic and workflows - clinical assessments, MLR thresholds, SDOH screeners, etc. - into clear, actionable requirements for technical partners.
  • Drive the clinical-operations side of complex, multi-team launches. Validate that delivered features meet clinical and workflow requirements (clinical acceptance/UAT), surface issues with technical partners, and ensure nothing falls through the cracks.


Measuring Success:
  • Develop frameworks to measure program success in consistent, scalable ways across a wide range of stakeholders and across programs serving different patient needs
  • Translate plain-language metrics into clear metric specifications for technology and data science counterparts
  • Monitor program performance data, flag anomalies proactively, and partner with Analytics to investigate and resolve issues quickly


Leadership & Cross-Functional Partnership
  • Represent Population Health in cross-functional forums; serve as a trusted thought partner to field leadership, Informatics, Product, Engineering, and operational teams
  • Lead, develop, and retain a high-performing team - giving direct reports real accountability, recognizing wins specifically and publicly, and investing in their growth
  • Develop and maintain executive-ready briefings, strategy docs, and slide content, often from scratch and under time pressure
  • Proactively identify gaps between strategic priorities and current-state capabilities; surface risks early with recommended paths forward


Required Qualifications
  • 10-15 years in healthcare program management, population health, or care delivery operations, with demonstrated ownership of complex, multi-stakeholder programs
  • Deep working fluency with EHR systems (Epic strongly preferred) - enough to translate clinical needs into feasible, buildable requirements, assess technical tradeoffs, and partner credibly with build teams. Direct build/configuration experience is a plus, not a requirement
  • Demonstrated ability to earn trust and influence technical and build teams as a non-owning partner - moving priorities through credibility and shared wins rather than authority
  • Clinical + operational bilingualism: comfortable with clinical program design logic and technical systems (Epic, patient segmentation data, data warehousing concepts)
  • Exceptional written communication: able to produce executive-level materials that are clear, structured, and audience-appropriate
  • Proven ability to drive the clinical-operations workstream of high-stakes go-lives across matrixed teams without losing detail or momentum
  • Strong analytical instincts: can read data, identify what's off, and know who to loop in and how fast
  • People leadership experience with a track record of developing early-career talent
  • High bias toward action; thrives in ambiguity
  • Ability to flag risk clearly and early, including to senior leadership, without over-alarming or under-communicating


Education
  • Bachelor's degree required
  • Graduate degree preferred but not required (MBA, MPH)


Oak Street Health Benefits:

  • Mission-focused career impacting change and measurably improving health outcomes for medicare patients
  • Paid vacation, sick time, and investment/retirement 401K match options
  • Health insurance, vision, and dental benefits
  • Opportunities for leadership development and continuing education stipends
  • New centers and flexible work environments
  • Opportunities for high levels of responsibility and rapid advancement


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.

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.

We anticipate the application window for this opening will close on: 11/30/2026

About CVS Health

Omnicare provides comprehensive pharmaceutical services to patients and providers across the United States. As the market-leader in professional pharmacy, related consulting and data management services for skilled nursing, assisted living and other chronic care settings, Omnicare leverages its unparalleled clinical insight into the geriatric market along with some of the industry's most innovative technological capabilities to the benefit of its long-term care customers. Omnicare also provides key commercialization services for the bio-pharmaceutical industry through its Specialty Care Group.

CVS Health Careers

Joining CVS Health presents a unique opportunity to advance your career in a company where innovation, leadership, and growth go hand in hand. As a leader in the healthcare industry, CVS Health is more than just a pharmacy. We are a team of professionals dedicated to improving lives and optimizing health outcomes.

Work You’ll Do

At CVS Health, you will be part of a culture that values diversity and inclusivity, fostering an environment where every team member’s contribution is valued. Engage in meaningful work that directly impacts lives, driving innovation in healthcare services and solutions.

Explore Job Opportunities

Whether you’re looking for a position in pharmacy services, corporate leadership, or in-store management, CVS Health offers a variety of employment opportunities that will help you harness your skills and thrive professionally. Our job opportunities span across a wide range of professional fields and geographic locations, ensuring that your career at CVS Health aligns with your professional goals and lifestyle.

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Kickstart your career with CVS Health through our internship programs. These opportunities are designed for ambitious students eager to develop their skills in a real-world setting. Internships at CVS Health are not only about gaining work experience but also about making meaningful contributions to our ongoing projects.

Professional Growth and Development

CVS Health is committed to the professional growth of our employees. With access to cutting-edge technology, industry-leading experts, and comprehensive diversity training, our team members are equipped to lead and innovate. We support career advancement through professional development programs, leadership training, and opportunities for networking and internal mobility.

Benefits and Culture

Our employees enjoy a range of benefits that reflect our commitment to their well-being and success. From health and wellness benefits to professional development programs, CVS Health is dedicated to ensuring our team members have the resources they need. Our inclusive culture encourages collaboration and continuous learning, making CVS Health a place where you can grow and succeed.

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Learn more about CVS Health
Size
300,000 employees
Market Cap
$122 billion
Industry
Net Income
$7.1 billion
Founded
1963
5 Year Trend
+10.5%
Revenue
$268.7 billion
NASDAQ

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