Senior Manager - Value Based Commercial Arrangements– Clinical Consultant

CVS Health

81d • $67,900 - $149,328

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. Position Summary With a focus on partnering with our internal and external constituents, this role will ensure clinical programs and workflows are delivered accurately and on time. Responsibilities will include evaluating population health programs within Value Based Contracting (VBC), identifying appropriate programs, and executing new programs, workflows and/or processes to meet the Aetna Clinical Solutions (ACS) business results. Drive or guide the development and evaluation of holistic solutions. The Clinical Consultant provides consultative solutioning around the identification and implementation of care transformation initiatives within the client organization that will improve quality, increase efficiency, and drive cost savings and improve the member and provider experience. Identify opportunities for provider improvement and influence internal and external business leader(s) to change through negotiations and consultation that promote issue resolution. Communicates concise results to empower client groups and internal leadership in decision making regarding opportunities. Capture and elevate to Sr. Leadership feedback from the marketplace and the provider community that will shape the strategies going forward.

Requirements

• 5+ years of clinical program experience.
• 2+ years with clinical program delivery on the provider side.
• 2+ years experience in health care analysis methods and tools, Population health, care management including disease management, complex care, and end of life.
• 2+ years experience working with clinical and claims data.
• Ability to manage multiple customers and competing priorities that drive positive outcomes.
• 5+ years experience introducing and implementing programs.
• Outstanding verbal and written communication skills, including formal presentations for all levels of management.
• Strong collaboration/influencing abilities.
• Leadership: Anticipating and Innovating and Creating Accountability.
• Service: Working Across Boundaries.
• 2+ years ensuring project discipline/meeting deadlines.

Nice To Haves

• Licensed Clinical professional highly desired.
• Specific experience within an ACO model is highly desired.
• Ability to collaborate with and understand the needs of C-level executives.
• Demonstrated ability to communicate technical concepts to business and policy decision-makers.
• 5+ years in either payer or provider settings highly preferred.
• Deep knowledge of health care industry, policy, research design, predictive modeling, ACO finance methods and tools.
• Strategic business acumen and proven organizational, management, and leadership skills.
• Demonstrated collaborative style, with ability to influence diverse teams.
• Demonstrated strategic thinking, problem solving and critical thinking abilities.
• Demonstrated ability to negotiate complex and often contentious issues.

Responsibilities

• Evaluate population health programs within Value Based Contracting (VBC).
• Identify appropriate programs and execute new programs, workflows and/or processes.
• Drive or guide the development and evaluation of holistic solutions.
• Provide consultative solutioning around care transformation initiatives.
• Identify opportunities for provider improvement.
• Influence internal and external business leaders to promote issue resolution.
• Communicate concise results to empower client groups and internal leadership.
• Capture and elevate feedback from the marketplace and provider community.

Benefits

• Affordable medical plan options.
• 401(k) plan (including matching company contributions).
• Employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs.
• Confidential counseling and financial coaching.
• Paid time off.
• Flexible work schedules.
• Family leave.
• Dependent care resources.
• Colleague assistance programs.
• Tuition assistance.
• Retiree medical access.

What This Job Offers

• Career Level: Mid Level
• Education Level: Bachelor's degree