Note: The job is a remote job and is open to candidates in USA. CVS Health is committed to building a world of health around every individual, and they are seeking a Lead Director, Business Consultant to design enterprise-wide solutions to address business problems. The role involves advising management, developing procedures for data analysis, and ensuring compliance with laws and regulations while optimizing organizational effectiveness.
Responsibilities
- Advises management through strategic business consultation to support the organization's goals and objectives
- Develops standard procedures related to researching, collecting, analyzing, and compiling data and information for business consulting department reports
- Develops and implements processes for auditing files, reports, and financial records ensuring compliance with relevant laws and regulations
- Communicates with top management to lead individuals to develop a high degree of customer service by fielding internal and external inquiries, finding resolutions, or redirecting as appropriate
- Communicates strategically internally and externally with clients and senior management regarding the organization's goals and objectives
- Counsels the internal and external department point of contact ensuring concise communication with employees, stakeholders, and members of the senior management
- Advises management regarding current business trends and best practices preparing analysis for senior management, stakeholders, and clients
- Controls all systems for performance appraisals within the business consulting department ensuring compliance and continuous improvement
- Evaluates performance through regular, timely feedback to ensure delivery of exceptional services and engagement, motivation, and team development
Skills
- 10+ years work experience in Healthcare Insurance Operations
- Mastery of problem solving and decision making skills
- Mastery of collaboration and teamwork
- Mastery of execution and delivery (planning, delivering, and supporting) skills
- Strong SQL Development Skills, Report Development Skills in Power BI and Tableau
- Ability to bridge communication gaps between business and IT partners
- 4 year degree or equivalent business experience
- WEDI X12/837I/837P EDI Gateway Processing, Editing and Mapping
- Clean Claim Edits
- Medicaid Risk Adjustment Strategy
- Process Flow and Project Management
Benefits
- 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.
- 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.
Company Overview