Senior Clinical Strategist

CVS Health; Virginia (MN); Remote; USD 78,000 - 169,000; Full time

Job summary

An established industry player is seeking a dedicated professional to enhance healthcare delivery through innovative performance management. This role focuses on improving patient-centric care and operational excellence within the ACO REACH model. You will be instrumental in analyzing data, managing KPIs, and collaborating with diverse stakeholders to drive quality improvements. Join a team that values your contributions and empowers you to make a real difference in the healthcare landscape. With a supportive environment and a commitment to professional growth, this opportunity is perfect for those passionate about transforming healthcare services.

Benefits

Medical Benefits

Dental Insurance

Vision Insurance

401(k) Retirement Plan

Employee Stock Purchase Plan

Paid Time Off

Paid Holidays

Education Assistance

Discount Programs

Well-being Programs

Qualifications

• 3+ years managing operational & quality management KPIs in healthcare.
• 2+ years of managed care experience with complex data analysis.

Responsibilities

• Facilitate transformation of care for ACO REACH attributed lives.
• Analyze provider performance and collaborate across leadership.

Skills

Operational Management

Quality Management KPIs

Data Analysis

Effective Communication

Interpersonal Skills

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 North Carolina, Virginia , or West Virginia

Shift is Monday-Friday standard business hours.

No nights, no weekends and no holidays.

Travel is approximately 50% in North Carolina, Virginia or West Virginia

As the ACO (Accountable Care Organization)REACH (Realizing Equity Access and Community Health) membership grows across the country, the ACO REACH Clinical performance team needs resources to ensure high-quality execution of transformation efforts and performance initiatives to drive success of the ACO model. This position will assist in accomplishing the organizational needs by being dedicated directly to our partners.

This role is key to facilitating transformation of the care that is delivered to ACO REACH attributed lives, strengthening the patient-centric collaboration between CVS ACO Inc. and our provider networks. The role is provider / clinic facing and is responsible for driving to continuous improvements in quality and patient experience, decreasing the total cost of care and translating to profitable growth.

Analyze and report on provider quantitative performance and operational capabilities and to execute a strategic roadmap.

This role will have in depth knowledge of each of the practices assigned and consistently collaborate with all stakeholders. The role will also be responsible for supporting clinical performance meetings where applicable.

Possess an ability to review, analyze, and address gaps in service excellence, policies, and / or procedures proactively; identify issues and implement solutions.

Possess an understanding of the key drivers of value-based care including clinical outcomes, growth, and Profits & Loss statement

Collaborating for results across a wide array of team members within ACO Leadership

Effective communication and interpersonal skills and an ability to develop relationships across the organizational leadership

Required Qualifications

3+ years of prior work experience managing operational & quality management KPIs in a healthcare setting

2 +years managed care (MCO) experience

1+ year prior leadership experience

2+ years of analyzing complex data analysis and reporting & deliver presentations to providers

One of the following licenses is required :

Required RN (Registered Nurse) that must hold an unrestricted license in their state of residence, with multi-state / compact privileges and have the ability to be licensed in all non-compact states OR LCSW (Licensed Clinical Social Worker) OR OT (Occupational Therapist) OR P T (Physical Therapist)

Preferred Qualifications

5+ years of healthcare performance management

2+ years value based care experience

Education

Bachelor's required

Master's Degree preferred

Pay Range

The typical pay range for this role is :

78,331.50 - $168,700.00

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.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.