AVP, Stars Quality & Health Outcomes

CVS Health; Illinois; Hybrid; USD 158,000 - 364,000; Full time

Job summary

CVS Health, including Oak Street Health, seeks an AVP to lead Stars and quality strategy for Medicare-focused care. You will partner with executives to drive multi-payer quality goals and implement enterprise quality initiatives across centers, improving HEDIS and chronic condition outcomes.

The role emphasizes analytics, program management, and collaboration with clinical, operational, and field teams to optimize value-based care results.

Qualifications

• 10+ years of progressive experience in HEDIS and Stars, with at least 5 years in senior leadership at a health plan, MSO, IPA, or value-based medical group.
• Proven track record of improving Stars performance and achieving quality bonuses in VBC contracts.
• Deep expertise in CMS Stars methodology, NCQA HEDIS specifications, CAHPS, HOS, and Medicare Advantage economics.
• Experience negotiating and operating value-based contracts and joint operating committees with national and regional health plans.
• Strong command of supplemental data strategy, digital quality measures, and EHR-driven quality workflows (Epic preferred).
• Analytical fluency to interrogate measure-level data, attribution files, and reconciliation reports.
• Experience leading large, multi-disciplinary teams with engagement and accountability.
• Entrepreneurial spirit and ability to navigate ambiguity, drive innovation, and roll up sleeves to solve problems.
• Exceptional communication and relationship-building skills to influence stakeholders at all levels.

Responsibilities

• Own the multiyear Stars strategy and drive 4+ Stars across payer portfolio with defined operating plans.
• Identify opportunities across Stars, HEDIS, and chronic condition management; set targets aligned with quality goals.
• Develop forward-looking analyses by payer, market, and measure and translate findings into priorities for leadership.
• Lead teams that design, launch, and scale quality improvement programs including gap closure and adherence metrics.
• Promote adoption of quality programs across centers and evaluate impact.
• Oversee care-team incentives, dashboards, worklists, and process metrics with clear ownership and action plans.
• Collaborate with Field Ops, Clinical Leadership, Population Health to integrate Stars gap closure into daily workflows.
• Represent Stars strategy in executive payer meetings and joint operating committees with health plans.
• Maintain dashboards across Stars, HEDIS, and chronic condition measures.

Skills

HEDIS

Stars

Documentation

Analytical skills

Leadership

Communication

Education

Bachelor's Degree or equivalent

Tools

Epic

Job description

CVS Health, including Oak Street Health, seeks an AVP to lead Stars and quality strategy for Medicare-focused care. You will partner with executives to drive multi-payer quality goals and implement enterprise quality initiatives across centers, improving HEDIS and chronic condition outcomes.

The role emphasizes analytics, program management, and collaboration with clinical, operational, and field teams to optimize value-based care results.