Executive Director, COE Requirements

Company: Nurses Co
Location: Phoenix
Posted on: November 19, 2023

Job Description:

Job DescriptionThe Executive Director of Client Requirements is responsible for creating and implementing Requirements Center of Excellence (CoE). The Requirements CoE will build the strategy for how we gather, define, and store client pharmacy benefit requirements across Health Plan, and Employer Commercial segments. Pharmacy benefit requirements include but are not limited to eligibility, clinical, benefits, specialty, accumulations, client reports. The Executive Director will build the CoE Team that defines and maintains requirements gathering process documents, requirements templates, and standards. The Executive Director will partner with Senior Leaders across our Product and Adjudication Solutions teams to enhance the requirements process as new pharmacy products and adjudication capabilities are rolled out to our clients. The Executive Director will partner with our Automation leader to ensure requirements can be digitally processed to drive automated pharmacy benefit plan build activities. The Executive Director will partner with our Digital team to create an online experience for clients to manage requirements via self-servicePay RangeThe typical pay range for this role is:Minimum: 131,500Maximum: 289,300Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualifications* 10-15 years of proven leadership experience, leading leaders, in a matrix environment.* 10 years of requirements experience, building and defining requirements standards, and leading a requirements team.* 10 years of healthcare experience, or related industry, working in a multi-faceted operation, building and maintaining client relationships.* 10 years of driving metrics and meeting budget/cost commitmentsCOVID RequirementsCOVID-19 Vaccination RequirementCVS 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.Preferred Qualifications* PBM experience* IIBA Certification or PMP Certification* Masters DegreeEducation* Bachelors Degree (or equivalent years experience)Business OverviewBring your heart to CVS HealthEvery 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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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.
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Keywords: Nurses Co, Phoenix , Executive Director, COE Requirements, Executive , Phoenix, Arizona