Senior Clinical Strategist

CVS Health • Washington, NV

4d • $78,331 - $206,206 • Remote

About The Position

The Senior Clinical Strategist works with assigned Aetna Medicare Provider Collaboration groups to improve clinical performance. The role leads clinical performance improvement projects and manages multiple complex deliverables through implementation. Projects support population health, primarily affecting Stars and quality, as well as utilization and cost. This is a fully remote role for a Registered Nurse residing in Idaho, Montana, Nevada, Oregon, Utah, Washington, or Wyoming, with an active RN license in their state of residence. Travel of up to 25% may be required in support of Value Based Care groups. The schedule is Monday through Friday, 8 a.m. to 5 p.m., with no nights, weekends, or holidays.

Requirements

• Active, unrestricted Registered Nurse license in the state of residence.
• At least 4 years of case management experience.
• At least 3 years of clinical experience.
• At least 1 year of leadership or supervisory experience.
• At least 4 years of Outlook experience.
• At least 4 years of Microsoft PowerPoint experience.
• At least 4 years of Microsoft Excel experience.
• At least 1 year of SharePoint experience.

Nice To Haves

• Registered Nurse bachelor's degree or equivalent experience.
• Strong communication and interpersonal skills.
• Proven ability to meet project milestones and negotiate for resources.
• Proven negotiation skills.
• Proven project management skills.
• Proven success working in a matrixed environment.
• At least 1 year of managed care experience.
• Ability to create accountability, develop and execute strategy, and drive change.

Responsibilities

• Build trusting relationships with provider partners to promote open communication.
• Provide clinical expertise on actionable opportunities related to case management, gap closure, workflow discussions, and collaboration with case manager supervisors, managers, and case managers.
• Serve as an internal and external liaison and clinical resource, interpreting data and educating partners on how to use it for Provider Collaboration performance improvement.
• Develop strategies with subject matter experts and clinical teams, internally and externally, to drive outcomes and improve efficiencies.
• Coordinate and conduct clinically focused meetings to identify opportunities, prioritize goals and interventions, close gaps in care, and achieve optimal Stars performance.
• Collaborate across functions and segments to reach agreement among impacted parties, including when upstream and downstream effects involve multiple teams.
• Collaborate with Engagement Managers, the Local Market Team, Data Team, Medical Operations, and others on Stars and quality improvement initiatives.
• Lead clinical performance improvement projects and manage complex deliverables through implementation.

Benefits

• Medical, dental, and vision coverage, based on eligibility.
• Paid time off.
• Retirement savings options.
• Wellness programs.
• Other resources to support physical, emotional, and financial well-being, based on eligibility.
• Eligible for a CVS Health bonus, commission, or short-term incentive program in addition to base pay.

What This Job Offers

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