Practice Transformation Advisor

4004 Aetna Medicaid Administrators; Louisiana (MO); Hybride; USD 54 000 - 119 000; Plein temps

Résumé du poste

CVS Health is seeking a Quality Practice Transformation Advisor to improve provider performance and quality across our network. The role emphasizes identifying improvement opportunities, partnering with practices to implement strategies, and driving outcomes in patient care.

The position is remote with occasional travel to provider sites. Requires 5–7 years in healthcare quality roles, strong data analysis and knowledge of HEDIS and regulatory standards.

Qualifications

• 5–7 years in healthcare quality improvement, provider relations or similar role.
• Knowledge of HEDIS, regulations, clinical ops, quality standards and performance metrics.
• Strong analytical and problem‑solving skills with data interpretation.

Responsabilités

• Identify areas for quality improvement and opportunities to reduce costs.
• Partner with provider practices to implement quality strategies.
• Drive outcomes in patient care, member and clinician experiences.
• Travel to provider sites as needed.

Connaissances

Healthcare quality improvement

Data analysis

HEDIS knowledge

Regulatory compliance

Communication skills

Training design

EHR familiarity

VPN security

Formation

Bachelor’s degree in healthcare administration or related field

Outils

Excel

Data visualization software

Electronic Health Records (EHR)

Description du poste

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Must live in Louisiana for this role. The Quality 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.

Requirements

• 5-7 years of experience in healthcare quality improvement, provider relations, or a related role.
• In-depth knowledge of HEDIS, healthcare regulations, clinical operations, quality standards, and performance metrics.
• Strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify improvement opportunities.
• Excellent communication, presentation and interpersonal skills to collaborate with and effectively influence provider groups and executives, team members, and stakeholders at all levels.
• Proven experience in designing and delivering training programs or educational initiatives.
• Proficiency in data management and analysis tools, such as Excel or data visualization software.
• Familiarity with electronic health record systems and healthcare information technology.
• Detail-oriented, organized, and able to manage multiple projects simultaneously.
• Ability to work independently, demonstrate initiative, and drive results in a fast-paced environment.
• Position is remote – secure home network required and familiar with Microsoft Office products and VPN. Must be willing to travel to provider sites as needed. This is rare but required if requested.

Preferred

• Licensed Allied Health Professional or Licensed Registered Nurse or LPN
• Coding or Provider facing, Clinical experience, or Provider Practice experience
• Certified Six Sigma Green Belt
• Certified Professional in Healthcare Quality (CPHQ) or equivalent

Education / License Requirements

• Bachelor’s degree or commensurate work experience in healthcare administration, public health, or a related field

Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,300.00 - $119,340.00 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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 10/14/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.