Practice Transformation Advisor

CVS Health; Downers Grove (IL); Remote; USD 66,000 - 146,000; Full time

Job summary

CVS Health is seeking a Practice Transformation Advisor to enhance practice performance and quality within their healthcare network. This role involves engaging with providers, conducting performance analysis, and implementing strategies to improve patient care outcomes. The ideal candidate will have extensive experience in healthcare quality improvement and strong analytical skills, contributing to the delivery of high-quality healthcare services.

Benefits

Affordable medical plans

401(k) with matching

Flexible benefits including paid time off

Tuition assistance

Qualifications

• 5-7 years of experience in healthcare quality improvement.
• In-depth knowledge of healthcare regulations and quality standards.
• Proven experience in designing and delivering training programs.

Responsibilities

• Engage with large provider groups to improve quality and cost of care.
• Conduct analysis of provider performance metrics.
• Lead performance improvement initiatives.

Skills

Analytical skills

Problem-solving

Communication

Interpersonal skills

Data interpretation

Education

Bachelor's degree in healthcare administration or related field

Tools

Excel

Visualization software

Job description

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels, and more than 300,000 purpose-driven colleagues – caring for people where, when, and how they choose in a way that is uniquely more connected, more convenient, and more compassionate. And we do it all with heart, each and every day.

Role Overview

The Practice Transformation Advisor plays a critical role in supporting the highest standards of practice performance and quality within our organization's network of healthcare providers. The primary focus is to identify areas for quality improvement, partner with provider practices to implement quality strategies that improve quality and cost of care, member, and clinician experience, and drive positive outcomes in the delivery of patient care.

Responsibilities

1. Provider Engagement: Establish and maintain engagement with large provider groups that have a membership of 1,000 or greater.
2. Performance Analysis: Conduct comprehensive analysis of provider performance metrics and clinical operations for value-based care readiness and risk assessment. This includes clinical quality indicators, patient and provider satisfaction ratings, and operational efficiency measures. Develop data-driven strategies for performance improvement and financial rewards.
3. Provider Education and Practice Transformation: Collaborate with cross-functional teams to assess practice operations against industry best practices. Design and deliver training programs, workshops, and educational materials for providers and staff to improve health outcomes. Facilitate sessions on clinic operations, quality standards, regulatory compliance, and patient-centered care.
4. Performance Improvement Initiatives: Lead initiatives to enhance provider performance by developing and monitoring performance improvement plans and evaluating intervention effectiveness.
5. Quality Assurance: Conduct audits and reviews of provider practices, documentation, and compliance, providing feedback and recommendations for improvement.
6. Stakeholder Collaboration: Work closely with clinical and operational leadership, quality teams, and provider relations to align performance objectives and foster effective relationships with providers.
7. Data Management and Reporting: Use analytics tools to collect, analyze, and report performance data, preparing reports and dashboards for leadership.
8. Industry Knowledge and Research: Stay informed about industry trends, best practices, and regulatory changes. Support population health and health equity initiatives, conducting research and benchmarking activities.

Requirements

• 5-7 years of experience in healthcare quality improvement, provider relations, or related roles.
• In-depth knowledge of healthcare regulations, clinical operations, quality standards, and metrics.
• Strong analytical, problem-solving, and data interpretation skills.
• Excellent communication, presentation, and interpersonal skills.
• Proven experience in designing and delivering training programs.
• Proficiency in data analysis tools like Excel and visualization software.
• Familiarity with electronic health records and healthcare IT systems.
• Detail-oriented and organized with the ability to manage multiple projects.
• Ability to work independently in a fast-paced environment.
Position is remote; a secure home network and familiarity with Microsoft Office and VPN required.

Preferred Qualifications

• Licensed Allied Health Professional or Registered Nurse.
• Coding or Sales background.
• Certified Six Sigma Green Belt.
• CPHQ or equivalent certification.
• NCQA PCMH Content Expert certification.

Education and License Requirements

Bachelor's degree or equivalent work experience in healthcare administration, public health, or related field.

Additional Details

Anticipated Weekly Hours: 40

Time Type: Full-time

Pay Range: $66,330.00 - $145,860.00

This pay range is the base salary or hourly rate, with actual offers influenced by experience, education, location, and other factors. The role may include bonuses or incentives.

Our people fuel our future. We are committed to fostering a workplace where every colleague feels valued and included.

Benefits

We offer comprehensive wages and benefits, including:

• Affordable medical plans, 401(k) with matching, and stock purchase plans.
• No-cost wellness, tobacco cessation, weight management, counseling, and financial coaching programs.
• Flexible benefits such as paid time off, family leave, dependent care, tuition assistance, and retiree medical access.

For more information, visit https://jobs.cvshealth.com/us/en/benefits.

Application deadline: 05/26/2025.

Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.