Senior Clinical Strategist

Job not on LinkedIn

🔥 1 minute ago

🥔 Idaho, Montana, +5 more states – Remote

🥔 Idaho – Remote 🦬 Montana – Remote 🎰 Nevada – Remote 🌲 Oregon – Remote ⛷️ Utah – Remote ☕ Washington – Remote 🦬 Wyoming – Remote

💵 $78.3k - $206.2k / year

⏰ Full Time

🟠 Senior

👻 Ghost score 0%

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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

• Work with assigned Aetna Medicare Provider Collaboration groups to improve performance • Lead clinical performance improvement projects and 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 case management, gap closure, and workflow discussions • Partner with case manager supervisors/managers and case managers • Serve as internal and external liaison and clinical resource • Interpret data and educate stakeholders on using data for 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 and prioritize goals and interventions • 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/quality improvement initiatives • Travel up to 25% may be required in support of Value Based Care groups • Work Monday through Friday, 8 a.m. to 5 p.m., with no nights, weekends, or holidays

🎯 Requirements

• Registered Nurse with active and unrestricted license in the state the candidate resides • Reside in the Northwest/Mountain area: Idaho, Montana, Nevada, Oregon, Utah, Washington, or Wyoming • 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+ 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 of managed care experience preferred • Registered Nurse / Bachelor's Degree preferred or equivalent experience

🏖️ 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