Remote RN: Senior Clinical Performance Leader

CVS Health; Carson City (NV); Remote; USD 78,000 - 206,000; Full time

Job summary

CVS Health is seeking a Senior Clinical Strategist to support Aetna Medicare Provider Collaboration groups. This fully remote role requires residency in the Northwest/Mountain area and an RN license in the state of residence. Travel up to 25% may be required to support Value Based Care initiatives.

You will drive clinical performance by leading improvement projects focused on Stars, quality, utilization, and cost, while coordinating with cross-functional teams and clinical leaders.

Qualifications

• Registered Nurse licensed in the state of residence (RN).
• 4+ years of Microsoft PowerPoint experience.
• 4+ years of Microsoft Excel experience.
• 1+ years of SharePoint experience.
• Proven track record in meeting project milestones and negotiating for resources.
• Proven project management skills.

Responsibilities

• Serve as clinical expert on actionable opportunities related to CM, gap closure, workflow discussions, and partnering with case manager supervisor/manager and CMs.
• Act as internal and external liaison and clinical resource, interpreting data and educating regarding how to utilize data for PC performance improvement.
• Coordinate and conduct clinically focused meetings to identify opportunities, target and prioritize goals and interventions to close gaps in care and achieve optimal stars performance.
• Collaborate with Engagement Managers, Local Market Team, Data Team, Medical Operations and others on initiatives for Stars/quality improvement.

Skills

Microsoft PowerPoint

Microsoft Excel

SharePoint

Project management

Education

RN license + Bachelor's degree or equivalent

Job description

CVS Health is seeking a Senior Clinical Strategist to support Aetna Medicare Provider Collaboration groups. This fully remote role requires residency in the Northwest/Mountain area and an RN license in the state of residence. Travel up to 25% may be required to support Value Based Care initiatives.

You will drive clinical performance by leading improvement projects focused on Stars, quality, utilization, and cost, while coordinating with cross-functional teams and clinical leaders.