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Lead Director Digital Product - Quality & Stars
Summary
Lead Director, Digital Product - Quality & STARS
Location: Remote
Department: Healthcare Delivery Technology & Product Management
Reports To: Senior Medical Director, Clinical Informatics & Digital Product
Role Overview
As the Lead Director of Digital Product for Quality & Stars you will lead the technology product strategy and execution to drive performance in quality measures and programs, including technical leadership of Health Maintenance, dashboards to drive performance in Medicare Stars programs, and dashboards to drive performance in the ACO lead program.
In this high-impact role, you will partner directly with clinical and business operational leaders to shape end-to-end technology pathways that support ambulatory quality performance measurement overall, as well as in payer programs, and that ultimately drive performance outcomes.You will lead a multidisciplinary team of product managers, Epic analysts, software engineers, data scientists, and UI/UX designers to translate clinical and program vision into scalable technology roadmaps that optimize patient outcomes, with an emphasis on safety, a delightful patient and care team experience, and outstanding contract performance in quality & stars.
The candidate must have expertise with value-based care models, payer quality programs, and Epic as a core care delivery platform.
Key Responsibilities
Strategic Business Partnerships & Care Model Integration
+ Partner with clinical and business stakeholders, as well as enterprise governance, to ensure health maintenance topics reflect the most up to date clinical guidelines as well as intake new requests for Health Maintenance topics and move them through multi stakeholder alignment, governance, and execution. Ensure Health Maintenance topics have accurate and up to date training materials available for care teams at the point of care.
+ Lead end-to-end strategy for stars across Part C & D measures - ensuring payer files are faithfully loaded into the core care delivery platform, panel management tools for Internal & External Stars programs accurately reflect performance, continuously imagine and reimagining how care teams can use technology to drive performance in Stars quality measures, and ensure consistent partnership with strategy teams on training and communications for field teams.
+ Serve as a strategic thought partner for CVS HCD business stakeholders as they define the "why" and the "what' for care model strategy.
+ Drive cross-functional technology teams that surface the "how" - technology solutions to enable care model strategy and drive end-to-end execution of technology products.
+ Establish shared outcome metrics with business leaders, ensuring all technology investments directly drive improved clinical quality, patient experience, and financial performance.
Product & Technology Leadership
+ Lead multidisciplinary technology teams -including Product Managers, Epic Analysts, Software Engineers, Data Scientists, and Designers-to build seamless, end-to-end clinical technology pathways that reduce medical costs, while driving patient experience and outcomes.
+ Oversee the transformation of broad ideas into rigorous problem statements, actionable product specifications, and robust Epic/technology architectures.
+ Accountable for end-to-end technology design, translation into technical requirements, and technology build.
+ Ensure smooth integration between external data sources (e.g., claims data, remote monitoring, health plan feeds) and internal Epic workflows to provide clinicians with real-time, actionable insights. Know when these integrations are needed and partner with technical team members to ensure effective execution that works well in clinical practice.
Operational Execution & Continuous Improvement
+ Take end-to-end accountability for the technology lifecycle, from initial problem discovery through technical solutioning, build, deployment, and measurable outcome realization.
+ Establish continuous feedback loops and iterative improvement cycles to ensure deployed technologies achieve targeted clinical and financial goals.
+ Maintain a deep operational understanding of both Value-Based Care (VBC) and Fee-for-Service (FFS) delivery environments to ensure solutions scale across business models.
Team Leadership & Culture
+ Lead, mentor, and build a high-performing product team of "translators"-professionals fluent in both healthcare operations and technology capability.
+ Lead and mentor cross-functional technology teams beyond product - Epic analysts, engineers, data scientists - focused on driving success in CVS HCD admissions prevention efforts.
+ Foster a team culture grounded in curiosity, resilience, problem-solving, and joy, maintaining high engagement even during complex, high-pressure execution cycles.
Qualifications & Key Competencies
+ Executive Presence: Proven ability to communicate, influence, and build trust with senior executive stakeholders and frontline team members alike.
+ Epic & Healthcare Tech Expertise: Hands-on experience with Epic EHR workflows, module configurations, and translating operational requirements into Epic build. Understanding of how external health data enriches EHR clinical workflows.
+ Healthcare Operations & Domain Knowledge: Deep familiarity with clinical operations, Quality Improvement (QI) methodologies, Value-Based Care (VBC) constructs, and Fee-For-Service (FFS) operational dynamics, and medical cost initiative care pathways.
+ Product & Technical Leadership: Track record of leading cross-functional teams to deliver high-scale technology backed clinical interventions.
+ Problem-Solving & Accountability: Exceptional analytical rigor; ability to frame ambiguous clinical challenges into structured problem statements. The ability to hold themselves and teams highly accountable for execution and towards measurable outcomes.
+ People Leadership: Demonstrated ability to lead with empathy, optimism, and rigor, building high-trust teams that excel under pressure.
Required Experience & Education
+ Education: Bachelor's degree required; Graduate degree and/or clinical background preferred (RN, MD, DO, NP, PA)
+ Experience: 10+ years of progressive leadership experience spanning healthcare operations, cli...
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