Quality Practice Transformation Advisor

Mika Meyers PLC; Lansing (MI); Remote; USD 54,000 - 160,000; Full time

Job summary

A leading health solutions company is seeking a Quality Practice Transformation Advisor to drive quality improvement and strategic initiatives in healthcare operations. The role involves engaging with providers, conducting performance analyses, and developing training programs to enhance care delivery. Candidates should have significant experience in healthcare quality improvement and strong analytical skills. This is a fully remote position that offers competitive remuneration and comprehensive benefits.

Benefits

Medical options

401(k) with match

Stock purchase plan

Wellness programs

Paid time off

Flexible schedules

Tuition assistance

Qualifications

• 5+ years in healthcare quality improvement, provider relations, or related fields.
• Strong analytical and communication skills.

Responsibilities

• Engage with large provider groups and analyze performance metrics.
• Lead initiatives to improve provider performance and quality.

Skills

Analytical skills

Problem-solving

Communication

Interpersonal skills

Data analysis

Detail-oriented

Education

Bachelor's degree in healthcare administration, public health, or related fields

Tools

Excel

Data visualization software

Job description

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues 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. We do it all with heart, each and every day.

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 patient care delivery.

This is a fully remote role; candidates can live anywhere in the United States.

Responsibilities:

1. Provider Engagement: Establish and maintain engagement with large provider groups with a membership of 1,000 or greater.
2. Performance Analysis: Conduct comprehensive analysis of provider performance metrics and clinical operations for VBC readiness and risk assessment. This includes clinical quality indicators, patient and provider satisfaction ratings, and operational efficiency measures. Develop data-driven strategies to improve provider performance and financial rewards.
3. 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 to improve health outcomes. Facilitate sessions on clinic operations, quality standards, regulatory compliance, member experience, and patient-centered care to enhance provider skills and knowledge.
4. 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.
5. Quality Assurance: Conduct regular audits, reviews, and assessments of provider practices, documentation, and compliance. Provide feedback and recommendations for improvement.
6. Stakeholder Collaboration: Work closely with internal teams, including clinical and operational leadership, value-based care, quality management, and provider relations teams to align provider performance objectives with organizational goals. Foster effective relationships with providers, offering guidance, feedback, and support.
7. Data Management and Reporting: Utilize data management systems and analytics tools to collect, analyze, and report provider performance data. Prepare reports, dashboards, and presentations for senior leadership, highlighting key performance indicators, trends, and opportunities for improvement.
8. Industry Knowledge and Research: Stay updated on industry trends, best practices, and regulatory changes related to provider performance and healthcare quality. Support population health and health equity initiatives, conduct research, and benchmarking activities to identify innovative approaches for improvement.

Qualifications:

• 5+ years of experience in healthcare quality improvement, provider relations, or related roles.
• Deep knowledge of healthcare regulations, clinical operations, quality standards, and performance metrics.
• Strong analytical and problem-solving skills to interpret complex data and identify improvement opportunities.
• Excellent communication, presentation, and interpersonal skills to collaborate and influence providers and stakeholders.
• Experience designing and delivering training or educational initiatives.
• Proficiency in data analysis tools such as Excel and data visualization software.
• Familiarity with electronic health records and healthcare IT systems.
• Detail-oriented, organized, capable of managing multiple projects.
• Ability to work independently, demonstrate initiative, and drive results in a fast-paced environment.
• Remote work requires a secure home network and familiarity with Microsoft Office and VPN.

Preferred Qualifications:

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

Education/License:

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

Details:

Weekly Hours: 40

Type: Full-time

Pay Range: $54,300 - $159,120 (base salary, dependent on experience, education, location, and other factors). This role may include bonuses, commissions, or incentives.

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

Benefits include: Medical options, 401(k) with match, stock purchase plan, wellness programs, paid time off, flexible schedules, family leave, dependent care resources, tuition assistance, retiree medical, and more. For details, visit here.

Application deadline: 08/31/2025.

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