Remote RN Medicare Performance Strategist

CVS Health; Crystal Bay (NV); Remote; USD 78,000 - 206,000; Full time

Job summary

CVS Health is seeking a Senior Clinical Strategist to drive clinical performance for Medicare Provider Collaboration groups. The role emphasizes leading performance improvement projects, data-driven decision making, and cross-functional collaboration to enhance Stars ratings and reduce utilization costs.

The position is fully remote with residency in the Northwest/Mountain region. Travel up to 25% may be required to support Value Based Care initiatives; RN licensure in the state of residence is

Qualifications

• Registered Nurse license in state of residence is required or equivalent experience.
• 4+ years of Microsoft PowerPoint experience.
• 4+ years of Microsoft Excel experience.
• 1+ years of SharePoint experience.
• Proven project management skills with a track record of meeting milestones.
• Education: Registered Nurse / Bachelor’s Degree preferred or equivalent experience.

Responsibilities

• Serve as clinical expert on opportunities related to care management, gap closure, workflow discussions, and partnering with case management.
• Act as internal and external liaison and clinical resource, interpreting data for provider collaboration performance improvement.
• Coordinate and conduct clinically focused meetings to identify opportunities and prioritize goals to close gaps in care and improve Stars performance.
• Collaborate with Engagement Managers, Local Market Team, Data Team, Medical Operations on Stars/quality improvement initiatives.
• Demonstrate proficiency with PowerPoint, Excel, and SharePoint to support projects and reporting.
• Proven ability to manage projects and negotiate for resources.

Skills

PowerPoint

Excel

SharePoint

Project management

Stakeholder liaison

Education

RN license

Bachelor’s degree preferred

Tools

Microsoft PowerPoint

Microsoft Excel

SharePoint

Job description

CVS Health is seeking a Senior Clinical Strategist to drive clinical performance for Medicare Provider Collaboration groups. The role emphasizes leading performance improvement projects, data-driven decision making, and cross-functional collaboration to enhance Stars ratings and reduce utilization costs.

The position is fully remote with residency in the Northwest/Mountain region. Travel up to 25% may be required to support Value Based Care initiatives; RN licensure in the state of residence is