Senior Clinical Strategist

We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

As a Senior Clinical Strategist at CVS Health, you will work with assigned Aetna Medicare Provider Collaboration groups to drive improved performance by leading clinical performance improvement projects and managing multiple complex deliverables through to implementation.

Responsibilities

• Establish trusting relationships with provider partners to promote open communication
• Serve as clinical expert on actionable opportunities related to case management, gap closure, workflow discussions, and partnering with case manager supervisor/manager and case managers
• Serve as internal and external liaison and clinical resource, interpreting data and educating regarding how to utilize data for performance improvement
• Strategize with subject matter experts and clinical teams both internally and externally to drive outcomes and improve efficiencies
• Coordinate and conduct clinically focused meetings to identify opportunities, target and prioritize goals and interventions to close gaps in care and achieve optimal performance
• Collaboratively work across multiple functions and/or segments to obtain agreement from all impacted parties

Requirements

• Registered Nurse with active and unrestricted license in the state of residence
• 4+ years of case management experience
• 3+ years of clinical experience
• 1+ year of leadership or supervisory experience

Technology Requirements

• 4+ years of Outlook experience
• 4+ years of Microsoft PowerPoint experience
• 4+ years of Microsoft Excel experience
• 1+ year of SharePoint experience

Preferred Qualifications

• 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

Benefits

• Comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources