Practice Transformation Manager

CVS Health Corporation; Richmond (VA); Remote; USD 54,000 - 146,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Retirement savings options

Wellness programs

Job summary

CVS Health Corporation is seeking a Practice Transformation Advisor to support quality improvement across a broad network of provider practices. The role focuses on identifying improvement opportunities, partnering with practices to implement quality strategies, and driving better patient care outcomes.

The position emphasizes data-driven performance analysis, education, and collaboration with cross-functional teams, with remote work and a strong emphasis on regulatory compliance and healthcare

Qualifications

• 5-7 years of experience in healthcare quality improvement or related role.
• Knowledge of healthcare regulations, clinical operations, quality standards, and performance metrics.
• Strong analytical and problem-solving skills; interpret complex data sets.
• Excellent communication, presentation and interpersonal skills with executives and providers.
• Experience designing and delivering training programs or educational initiatives.
• Proficiency in data management and analysis tools; familiarity with EHR systems and VPN.

Responsibilities

• Engage large provider groups (1,000+ members) and drive quality improvement initiatives.
• Analyze provider performance metrics and clinical operations for readiness and risk; develop data-driven improvement plans.
• Collaborate with cross-functional teams to design training and educational materials for providers and staff.
• Lead improvement initiatives; monitor progress and evaluate intervention effectiveness in partnership with practice partners.
• Conduct audits and feedback to ensure compliance and improvement.
• Prepare reports and dashboards for senior leadership highlighting KPIs and trends.

Skills

Healthcare quality improvement

Provider relations

Data analysis

Training program design

Regulatory compliance

Communication

Excel

EHR familiarity

Education

Bachelor's degree in healthcare administration/public health/related field

Tools

Excel

Data visualization software

Job description

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.

Summary

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

• Provider Engagement: Establish and maintain engagement with large provider groups that have a membership of 1,000 or greater.
• Performance Analysis: Conduct comprehensive analysis of provider performance metrics as well as clinical operations for VBC readiness and risk assessment. This includes clinical quality indicators, patient and provider satisfaction ratings and operational efficiency measures. Identify areas of improvement and develop data-driven strategies to improve provider performance and financial rewards.
• Provider Education and Practice Transformation: Collaborate with cross-functional teams to assess practice operations against industry best practices in primary care. Design and deliver training programs, workshops, and educational materials for primary care and specialty providers and their staff in key operational domains to achieve improved health outcomes. Facilitate sessions on clinic operations, quality standards, regulatory compliance, member experience and patient-centered care to enhance provider skills and knowledge.
• Performance Improvement Initiatives: Lead initiatives aimed at improving provider performance. Develop and implement performance improvement plans, monitor progress, and evaluate the effectiveness of interventions in collaboration with practice partners.
• Quality Assurance: Conduct regular audits, reviews, and assessments of provider practices, documentation, and compliance. Provide feedback and recommendations for improvement.
• Stakeholder Collaboration: Collaborate closely with internal teams, including clinical and operational leadership, value-based care, quality management teams and provider relations teams to align provider performance objectives with organizational goals. Foster effective working relationships with providers, offering guidance, feedback, and support to facilitate their success.
• Data Management and Reporting: Utilize data management systems and analytics tools to collect, analyze, and report provider performance data. Prepare comprehensive reports, dashboards, and presentations for senior leadership, highlighting key performance indicators, trends, and improvement opportunities.
• Industry Knowledge and Research: Stay abreast of industry trends, best practices, and regulatory changes related to provider performance and healthcare quality. Support population health and health equity initiatives to improve care gap closure rates and health outcomes. Conduct research and benchmarking activities to identify innovative approaches and opportunities for improvement.

Experience Requirements

• 5-7 years of experience in healthcare quality improvement, provider relations, practice management, value-based care, population health, nursing, or a related role.
• In-depth knowledge of 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.

Education/license Requirements

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

Preferred

• Licensed Allied Health Professional, or Licensed Registered Nurse
• Coding or Sales background
• Certified Six Sigma Green Belt
• Certified Professional in Healthcare Quality (CPHQ) or equivalent
• Certified NCQA PCMH Content Expert

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The Typical Pay Range For This Role Is

$54,300.00 - $145,860.00

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.

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.

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.

We anticipate the application window for this opening will close on: 10/16/2026

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