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CVS Health Executive Director, Clinical Interoperability - Medical Affairs in Wellesley, Massachusetts

Bring your heart to CVS Health. Every 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.

Position Summary

The Executive Director, Clinical Interoperability will set strategy and execute delivery of external data connections to data aggregators, EHR platforms, state HIEs, national networks, and other third-party vendors. The Executive Director will be responsible for clinical data exchange channels at the enterprise level, strategic management of Epic interoperability components on three instances of Epic and expanding interoperability capabilities for multiple lines of business. Scope of work includes leadership direction, cultivating and managing external vendor relationships, identifying strategic, innovative solutions for clinical data exchange, engaging with Legal on contractual agreements, collaborating with Procurement and Finance on budgets, and ensuring vendor product offerings and services are aligned with stakeholder use cases. The Executive Director will work with business stakeholders, Legal, and executive leaders to ensure the exchange and use of clinical data meets business requirements and privacy guidelines. Working with the VP, Clinical Informatics and Interoperability, the Executive Director will represent CVSH to external healthcare partners and assist in the relationship management.

You will make an impact by:

  • Setting strategy and execute external data exchange connections for multiple enterprise initiatives, collaborating with cross-functional teams, business stakeholders, and external partners to deliver value

  • Evaluating potential vendors, data aggregators, and state HIE products and services to determine which channel provides clinical data required for a given use case or market

  • Engaging with Privacy Office, Legal, Compliance, and Procurement on contract execution, appropriate data use, and budgeting

  • Providing relationship management for external partners

  • Developing strategic roadmaps and review future features/functionalities on the vendor roadmap to determine applicability and opportunity within the software

  • Providing strategic management of the interoperability components on three instances of Epic, including Care Everywhere, Healthy Planet, Referral Management, Direct Messaging, and Clinical Data Exchange modules

  • Expanding the use of Epic interoperability to multiple lines of business within CVSH

  • Delivering interoperability solutions which allow clinical data to be shared between our Epic platform, Signify Health, Oak Street Health, and other value-based care partners

  • Serving as a Subject Matter Expert (SME) for Electronic Health Record systems utilizing your expertise to support various business areas and initiatives within CVS Health

  • Identifying and mitigate potential project risks and engage business stakeholders as needed in all areas including Medical, IT, Privacy, Legal, and Compliance

  • Constructing presentations and deliver project status updates to stakeholders and partners

  • Communicating complex technical subjects to technical and non-technical audiences

  • Providing leadership and strategic direction to 10+ direct reports

Required Qualifications

To be considered for this exciting opportunity, candidates will need to have a minimum 12 years, 5 of them with Epic EHR systems, of professional experience in healthcare technology, electronic health records, and exchange of clinical data.

You will also need to have demonstrated experience in the following:

  • Exceptional leadership skills, strategic thinking, and strong decision-making capabilities

  • Business acumen in both payer and provider lines of business with a focus on clinical data requirements for different areas

  • Epic platform knowledge especially within the interoperability modules including Care Everywhere, Healthy Planet, Direct Messaging, and Referral Management.

  • A deep understanding of interoperability and industry standards for data exchange (CCD XML, HL7, FHIR, HIE connectivity, Direct Messaging, HISP technology)

  • Experience working with various Electronic Health Record (EHR) vendors, applications and/or clinical data sets

  • Experience leading projects and processes, including coordinating activities across diverse departments and ensuring that contributions across different teams are aligned and integrated as part of overall delivery

  • Experience working with legal and compliance partners in support of proper creation and execution of system policies and procedures

  • Ability to quickly develop knowledge and understanding of new domains and underlying data sources

  • Ability to work with business stakeholders and executive leaders to understand business use cases and translate requirements to the final product deliverable

  • Ability to create and deliver project artifacts (such as roadmaps, presentations, and status updates)

  • Ability to identify, assess, communicate, and resolve complex problems and facilitate issue resolution and risk mitigation

  • Knowledge of regulations and standards related to the management of patient health information (PHI)

  • Excellent written and oral communication skills, including developing and delivering presentations to internal and external audiences with the goal of obtaining feedback and alignment on project goals and delivery strategies

  • Meticulous attention to detail and ability to effectively organize information

Preferred Qualifications

  • Experience with interoperability and external data exchange

  • Strong relationship management experience

  • Epic EHR certification or management experience in multiple Epic modules

  • Proficiency in Microsoft Office tools (Outlook, Word, Excel, Visio, Project, Teams, PowerPoint)

  • Master's Degree

Education

Bachelor’s Degree in related discipline or comparable experience

Pay Range

The typical pay range for this role is:

$131,500.00 - $303,200.00

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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

CVS 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.

CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.

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