Manager, Practice Transformation

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🔥 0 minutes ago

🥔 Idaho, Louisiana, +1 more states – Remote

🥔 Idaho – Remote ⚜️ Louisiana – Remote 🤠 Texas – Remote

💵 $54.3k - $159.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Establish and maintain engagement with large provider groups with membership of 1,000 or greater • Analyze provider performance metrics and clinical operations for value-based care readiness and risk assessment • Identify improvement areas and develop data-driven strategies to improve provider performance and financial rewards • Assess practice operations against primary-care industry best practices • Design and deliver training programs, workshops, and educational materials for providers and staff • Facilitate sessions on clinic operations, quality standards, regulatory compliance, member experience, and patient-centered care • Lead performance improvement initiatives and implement performance improvement plans • Monitor progress and evaluate intervention effectiveness with practice partners • Conduct audits, reviews, and assessments of provider practices, documentation, and compliance • Provide feedback and recommendations for improvement • Collaborate with clinical and operational leadership, value-based care, quality management, and provider relations teams • Foster working relationships with providers and provide guidance, feedback, and support • Use data management systems and analytics tools to collect, analyze, and report provider performance data • Prepare reports, dashboards, and presentations for senior leadership • Monitor industry trends, best practices, and regulatory changes related to provider performance and healthcare quality • Support population health and health equity initiatives • Conduct research and benchmarking to identify innovative improvement opportunities • Work remotely with up to 30% regional travel

🎯 Requirements

• 5–7 years of experience in healthcare quality improvement, provider relations, or a related role • In-depth knowledge of healthcare regulations, clinical operations, quality standards, and performance metrics • Strong analytical and problem-solving skills with ability to interpret complex data sets • Excellent communication, presentation, and interpersonal skills • Experience designing and delivering training programs or educational initiatives • Proficiency in data management and analysis tools such as Excel or data visualization software • Familiarity with electronic health record systems and healthcare information technology • Detail-oriented, organized, and able to manage multiple projects simultaneously • Ability to work independently, demonstrate initiative, and drive results in a fast-paced environment • Remote-work capability with a secure home network • Familiarity with Microsoft Office products and VPN • Ability to travel regionally up to 30% • Bachelor's degree or commensurate work experience in healthcare administration, public health, or a related field • Preferred: Licensed Allied Health Professional or Licensed Registered Nurse • Preferred: Coding, provider-facing, clinical, or provider practice experience • Preferred: Certified Six Sigma Green Belt • Preferred: Certified Professional in Healthcare Quality (CPHQ) or equivalent

🏖️ Benefits

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