Sr. Clinical Strategist

Work At Home-New York

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

This is a remote position with up to 25% travel possible in the NY / NJ area.

Hours for this position are Monday-Friday 8a-5p EST. No nights, no weekends and no holidays.

Position Summary
The Senior Clinical Strategist works 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. Projects will support
population health and will primarily impact Stars and quality but will also focus on improvements in utilization and cost.

The Senior Clinical Strategist works to drive clinical performance of assigned Medicare Provider Collaboration groups by:
- Establishing trusting relationships with provider partners to promote open communication
- Serving as clinical expert on actionable opportunities related to CM, gap closure, workflow discussions, and partnering with case manager
supervisor/manager and CMs
- Serving as internal and external liaison and clinical resource, interpreting data and educating regarding how to utilize data for PC
performance improvement
-Strategizing with SMEs and clinical teams both internally and externally to drive outcomes and improve efficiencies
-Coordinating and conducting clinically focused meetings to identify opportunities target and prioritize goals and interventions to close gaps in care and achieve optimal stars performance
-Collaboratively working across multiple functions and/or segments to obtain agreement from all impacted parties ( e.g., up and downstream
effects often impact multiple functions and/or segments)
- Collaborating with Engagement Managers, Local Market Team, Data Team, Medical Operations and others on initiatives for Stars/quality

Required Qualifications

  • Registered Nurse with active and unrestricted license in the state the candidate resides
  • 4+ years of case management experience
  • 3+ years clinical experience
  • 1+ year leadership or supervisory experience
  • Residency in New York …
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