Senior Clinical Strategist

Job not on LinkedIn

🔥 4 minutes ago

🌵 Arizona, Idaho, +9 more states – Remote

🌵 Arizona – Remote 🥔 Idaho – Remote 🦬 Montana – Remote 🎰 Nevada – Remote 🌶️ New Mexico – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ☕ Washington – Remote 🦬 Wyoming – Remote

💵 $78.3k - $206.2k / year

⏰ Full Time

🟠 Senior

👻 Ghost score 0%

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CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Work with assigned Aetna Medicare Provider Collaboration groups to drive improved performance • Lead clinical performance improvement projects • Manage multiple complex deliverables through implementation • Support population health initiatives primarily impacting Stars and quality, as well as utilization and cost • Establish trusting relationships with provider partners • Serve as clinical expert on opportunities related to CM, gap closure, workflow discussions, and collaboration with case management leadership and case managers • Serve as internal and external liaison and clinical resource • Interpret data and educate partners on using data for provider collaboration performance improvement • Strategize with internal and external SMEs and clinical teams to drive outcomes and improve efficiencies • Coordinate and conduct clinically focused meetings • Identify opportunities and prioritize goals and interventions to close care gaps and achieve optimal Stars performance • Collaborate across multiple functions and segments to obtain agreement from impacted parties • Collaborate with Engagement Managers, Local Market Team, Data Team, Medical Operations, and others on Stars and quality improvement initiatives • Travel up to 25% in support of Value Based Care groups

🎯 Requirements

• Registered Nurse with active and unrestricted license in the state the candidate resides • 4+ years of case management experience • 3+ years clinical experience • 1+ year leadership or supervisory experience • 4+ years of Outlook experience • 4+ years of Microsoft Power Point experience • 4+ years of Microsoft Excel experience • 1+ years of SharePoint experience • Strong communication and interpersonal skills • Proven track record in meeting project milestones and negotiating for resources • Proven negotiation skills • Proven project management skills • Proven success while working in a matrixed environment • 1+ year managed care experience • Creating accountability, developing and executing strategy and driving change • Reside in one of these states: WA, OR, ID, UT, WY, MT, NV, AZ, TX, NM, OK • Schedule availability Monday–Friday, 8am–5pm

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility

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