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Senior Clinical Strategist

Job not on LinkedIn

🔥 11 minutes ago

🦬 Montana, Nevada, +4 more states – Remote

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💵 $78.3k - $206.2k / year

⏰ Full Time

🟠 Senior

Where this job comes from

Posted on CVS Health's careers page, not through a job board

First seen by Remote Rocketship 11 minutes ago

Logo of CVS Health

CVS Health

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

• Work with assigned Aetna Medicare Provider Collaboration groups to improve clinical performance • Lead clinical performance improvement projects and manage complex deliverables through implementation • Support population health initiatives focused on Stars, quality, utilization, and cost • Establish trusting relationships with provider partners • Serve as clinical expert on case management, gap closure, and workflow opportunities • Partner with case manager supervisors, managers, and case managers • Act as an internal and external liaison and clinical resource • Interpret data and educate stakeholders on using data for provider collaboration performance improvement • Strategize with subject-matter experts and clinical teams to drive outcomes and improve efficiencies • Coordinate and conduct clinically focused meetings to identify opportunities, prioritize goals, and close care gaps • Collaborate across 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

🎯 Requirements

• Active and unrestricted Registered Nurse (RN) license in the state where the candidate resides • 4+ years of case management experience • 3+ years of clinical experience • 1+ year of leadership or supervisory experience • 4+ years of Outlook experience • 4+ years of Microsoft PowerPoint experience • 4+ years of Microsoft Excel experience • 1+ year of SharePoint experience • Residence in the West Coast area, excluding California • Registered Nurse / Bachelor's degree preferred or equivalent experience • Ability to travel up to 25% may be required • Ability to work Monday–Friday, 8am–5pm

🏖️ Benefits

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

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