Senior Clinical Strategist

CVS Health; Massachusetts; Remote; USD 87,000 - 188,000; Full time

Job summary

A leading company in healthcare is seeking a professional to support their ACO REACH initiative, focusing on transforming care delivery. This role, based in Springfield, MA, involves strategic analysis and collaboration with providers to enhance patient care and drive performance in a fast-paced environment. Candidates should have operational management experience in healthcare and relevant licenses, with a focus on improving value-based care principles.

Benefits

Comprehensive medical, dental, and vision benefits

401(k) with company match

Employee Stock Purchase Plan

Paid time off including holidays and sick leave

Education assistance and development courses

Qualifications

• 3+ years managing operational & quality management KPIs in healthcare.
• 2+ years managed care (MCO) experience.
• One of the following licenses: RN, LCSW, OT, or PT.

Responsibilities

• Analyze provider performance data and support clinical performance meetings.
• Collaborate with provider networks to improve care delivery.
• Identify and address gaps in service.

Skills

Analyzing complex data

Operational & quality management KPIs

Effective communication

Relationship building

Education

Bachelor's degree

Master's degree

Job description

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient, and affordable.

Position Summary

Work at home with requirement to reside in or around Springfield, MA.

Shift is Monday-Friday standard business hours. No nights, no weekends, and no holidays.

Travel is approximately 50% in Springfield, MA

This role supports the ACO REACH (Realizing Equity Access and Community Health) initiative, focusing on high-quality execution of transformation efforts and performance initiatives to drive success of the ACO model. The position involves collaborating with provider networks to improve care delivery, focusing on quality, patient experience, cost reduction, and profitable growth.

Responsibilities include analyzing provider performance data, supporting clinical performance meetings, identifying and addressing gaps in service, and understanding key drivers of value-based care such as clinical outcomes, growth, and financial performance.

Effective communication and relationship-building with organizational leadership are essential.

Required Qualifications

• 3+ years managing operational & quality management KPIs in healthcare
• 2+ years managed care (MCO) experience
• 1+ year leadership experience
• 2+ years analyzing complex data and delivering provider presentations
• One of the following licenses is required: RN (with multi-state/compact privileges), LCSW, OT, or PT

Preferred Qualifications

• 5+ years healthcare performance management
• 2+ years value-based care experience

Education

• Bachelor's degree required
• Master's degree preferred

Pay Range

The typical pay range for this role is $87,035 - $187,500. The actual offer depends on experience, education, location, and other factors. This role is eligible for additional incentives such as bonuses or commissions.

Benefits

Employees enjoy comprehensive benefits including medical, dental, vision, 401(k), Employee Stock Purchase Plan, life insurance, disability benefits, well-being programs, education assistance, development courses, store discounts, and paid time off including holidays and sick leave, in accordance with applicable laws and policies.