Lead Director, Genomics and Precision Medicine

Job DescriptionEnterprise Women's Health and Genomics is responsible for setting women's health and genomics/precision medicine enterprise strategy at CVS Health. This clinically grounded work supports CVS Health consumers on their path to better health through the design of innovative programs and products that simplify the health care experience, make health local, and improve health outcomes.The Lead Director, Genomics and Precision Medicine Program, is responsible for driving improved clinical quality and cost effectiveness of health care by utilizing genomics and precision medicine solutions. These solutions will drive improvements in clinical outcomes, reduce health care costs, and increase revenue capture opportunities throughout the CVS Health enterprise. Leveraging clinical knowledge, payer experience, and insight into the possibilities of precision medicine, this individual will have opportunities to inspire business leads to innovate and deliver valuable genomics and precision medicine programs to internal business leaders and consumers. Sample initiatives include: the identification of fraud, waste, and abuse and the associated impact, the modeling of business cases for product enablement opportunities around genomic testing and analyzing the expected financial impact of potential new or revised clinical strategies. This individual will have the opportunity to partner with business leads to drive execution of identified cost savings and revenue capture opportunities.Reporting to the Genomics and Precision Medicine Executive Director, the Lead Director will join a small team in Enterprise Women's Health and Genomics that will require the successful applicant to work within matrixed teams across the enterprise to drive innovation and value but also to continuously adapt as needs require. Successful candidates are proactive, creative, and nimble in their approach to enable success in a fast-paced and dynamic environment. ESSENTIAL RESPONSIBILITIES Drive early-stage new product definition and value proposition activities with key-stakeholders for genomic and precision medicine products and services Leverage clinical knowledge and industry experience to support implementation and operational needs of innovative products and programs ensuring access and affordability Synthesize analytics, competitive analyses, market research, expert interviews, observations, and pilot data to confirm overall opportunity size, target population, regional and cultural differences and prioritize specific opportunities Perform comprehensive analysis and clinical evaluation of genomic claims for compliance with relevant billing and processing guidelines and to identify opportunities for fraud and abuse prevention and control Work closely with all functional areas including the Special Investigative Unit and Payment Integrity to identify and implement quality and economic initiatives to manage fraud and abuse Provide clinical support for clinical review of genetic testing claims and appeals/grievancesPay RangeThe typical pay range for this role is:Minimum: 100,000Maximum: 221,000Please 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 8-10 years of experience, with at least 4 years clinical experience in genetics or related specialty health area and 4 years of leadership experience in the healthcare, insurance, biotech or pharmaceutical space with some focus on genomics and/or women's health clinical programs, products and/or initiatives Expertise in clinical genetics and diagnostic genetic testing Experience using Microsoft Excel or other data tools to analyze medical claims Excellent communication, negotiation, and presentation skills Proficient in Word, Excel, and PowerPoint Demonstrated understanding of health plan structures and ability to interpret clinical coding insights, particularly from lab test claims Self-starter with the ability to work independentlyPreferred Qualifications Demonstrated ability to develop programs and products within a payer environment Proficient at health care data analysis and ability to use data to develop and present meaningful information Demonstrated leadership in driving successful programs across teams in a matrixed environmentEducation Master's degree in genetic counseling or a Master's degree or higher in a health-related field with equivalent clinical and payer experience ABGC Board Certified (for a genetic counselor)Business OverviewBring 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. 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. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Created: 2025-11-15