Clinical Network Lead - Central, West

CVS Health

14d • Remote

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Business Unit: Signify Health Location: Remote with some travel required. Must reside and be licensed in one of the states in Signify Health’s Central or West Regions which includes the following: WA, OR, CA, ID, NV, MT, WY, CO, NM, ND, SD, NE, KS, OK, TX, MN, IA, MO, WI, IL, IN, MI, KY, OH Summary The Clinical Success team is responsible for clinical leadership and strategic clinical quality oversight of Signify Health’s clinician network conducting in-home and virtual health evaluations. The team provides clinical support to the network, ensuring clinicians deliver high quality, high-value services that align with Signify Health’s policies, and service-level commitments to clients. The Clinical Network Lead is responsible for providing clinical guidance, support, and engagement through outreach, including but not limited to 1:1 coaching, field observations, Q&A sessions, and webinars to the network. The Clinical Success team is dedicated to fostering a positive clinician experience and clinical excellence. This role will report to the Senior Regional Clinical Manager, Clinical Success.

Requirements

• Board-certified Adult, Family, or Geriatric Nurse Practitioner, Physician’s Assistant, Board Certified, or Physician (MD/DO)
• State license (unencumbered) required; no history of prior license actions or board-ordered restrictions that would prevent obtaining licensure in additional states upon request
• Current credentialing with Signify Health or ability to obtain credentialing within one month of hire
• Reside and be licensed in one of the states in Signify Health’s Central or West Regions which includes the following: WA, OR, CA, ID, NV, MT, WY, CO, NM, ND, SD, NE, KS, OK, TX, MN, IA, MO, WI, IL, IN, MI, KY, OH
• Ability to: Adapt to rapidly changing business needs, effectively prioritizing internal and external business requests with urgent deadlines
• Navigate difficult conversations with high level of empathy and professionalism
• Obtain proficiency with the Signify Health in-home evaluation (IHE) application and the IHE process within 3 months of hire
• To work Signify Health normal business hours of M-F 8:00 AM - 5:00 PM CST; additional hours required to meet project deadlines as needed.
• Available for occasional evening and weekend calls
• Work at a desk with regular use of computer and headset in a dedicated, private work area free from distractions.
• Lifting requirements of 20 pounds occasionally unassisted
• Ability to travel by airplane with overnight hotel stays.
• Driver’s license must be in good standing with the ability to travel by vehicle
• Understanding of: Health risk evaluations including HEDIS, stars, and risk-adjustment
• Basic skills in MS Office; moderate skills in Google Suite; Power BI, Salesforce or Five-9 experience preferred
• Minimum 2 years of experience conducting health risk evaluations, preferred
• Minimum 2 years of clinical experience pertinent to the member population(s) in which oversight is provided

Responsibilities

• Proactive clinical network engagement, support, targeted coaching and ongoing performance monitoring of Physicians, Nurse Practitioners, and Physician Assistants within a designated region.
• Perform comprehensive, as well as, targeted review of clinical documentation in order to identify appropriate coaching opportunities with follow-up 1:1 coaching.
• Perform in-person and virtual ride alongs with providers.
• Provide urgent or emergent clinical support to field clinicians in real time.
• Collaborate with multiple departments and internal stakeholders to address and ensure high-quality services and clinician experience.
• Participate in staff meetings, conference calls, and other meetings as needed.
• Attend training sessions to acquire/enhance skills related to programs offered.
• Actively participate in committees, webinars, and other special projects.
• Support regional and national company-sponsored events as needed.
• Ability to travel up to 25% of the time including ad hoc travel as needed.
• Complete periodic in-home and virtual evaluations for Signify Health annually.
• Obtain additional state licenses as requested by Signify Health.
• Minimum travel and field work requirements subject to change depending on business needs.
• Perform other incidental and related duties as assigned.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed