Senior Clinical Strategist

Job not on LinkedIn

🔥 47 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%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

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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 trusting relationships with provider partners to promote open communication • Lead clinical performance improvement projects for assigned Aetna Medicare Provider Collaboration groups • Manage multiple complex deliverables through implementation • Serve as clinical expert on opportunities related to case management, 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 stakeholders on using data for provider collaboration performance improvement • Strategize with internal and external subject matter experts and clinical teams to drive outcomes and improve efficiencies • Coordinate and conduct clinically focused meetings to identify opportunities, prioritize goals and interventions, 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% possible in support of Value Based Care groups • Work Monday–Friday, 8am–5pm; no nights, weekends, or holidays

🎯 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 • Registered Nurse / Bachelor ‘s Degree preferred or equivalent experience • Must reside in WA, OR, ID, UT, WY, MT, NV, AZ, TX, NM, or OK

🏖️ 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

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