Quality - Practice Transformation Advisor

CVS Health • Springfield, IL

85d • $66,330 - $145,860

About The Position

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. The Quality Practice Transformation Advisor plays a critical role in supporting the highest standards of practice performance and quality within our organization's network of healthcare providers. The primary focus is to identify areas for quality improvement, partner with provider practices to implement quality strategies that improve quality and cost of care, member, and clinician experience, and drive positive outcomes in the delivery of patient care.

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 the ability to interpret complex data sets and identify improvement opportunities.
• Excellent communication, presentation and interpersonal skills to collaborate with and effectively influence provider groups and executives.
• Proven experience in 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.

Nice To Haves

• Licensed Allied Health Professional or Licensed Registered Nurse
• Coding or Sales background
• Certified Six Sigma Green Belt
• Certified Professional in Healthcare Quality (CPHQ) or equivalent
• Certified NCQA PCMH Content Expert

Responsibilities

• Establish and maintain engagement with large provider groups that have a membership of 1,000 or greater.
• Conduct comprehensive analysis of provider performance metrics as well as clinical operations for VBC readiness and risk assessment.
• Collaborate with cross-functional teams to assess practice operations against industry best practices in primary care.
• Design and deliver training programs, workshops, and educational materials for primary care and specialty providers and their staff.
• Lead initiatives aimed at improving provider performance.
• Conduct regular audits, reviews, and assessments of provider practices, documentation and compliance.
• Collaborate closely with internal teams to align provider performance objectives with organizational goals.
• Utilize data management systems and analytics tools to collect, analyze, and report provider performance data.
• Stay abreast of industry trends, best practices, and regulatory changes related to provider performance and healthcare quality.

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
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees