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.

Fully remote role with potential for up to 10% travel for plan sponsor audits.

The Sr. Clinical Consultant will lead the preparation and execution of behavioral health clinical audits with external third-party consultants. Provides clinical oversight and assists leaders with performance management. Ensures clinical excellence and improvement activities related to third party audit feedback and internal audit findings.

What you will do:

- Capitalizes on advanced clinical experience and knowledge to manage the coordination and preparation of documentation for third party audits.

- Oversees the preparation of clinicians for participation in third party audits.

- Assists leaders with performance management activities including internal documentation and call observation audits.

- Analyzes trends from audit results to determine training needs of the department, team and staff.

- Assists management with key performance indicator reports to effectively measure work area progress against management-established goals and targets.

- Develops and oversees new hire and refresher training on third party audit expectations and skill building for presentations.

- Collaborates with management across all behavioral health teams to review audit results, consulting on key recommendations to ensure clinical excellence and improvement activities.

-Acts as behavioral health clinical audit subject matter expert and as the behavioral health liaison between constituents including account management and physical health partners and the behavioral health teams.

Required Qualifications:

- 10+ years of post clinical licensure experience in behavioral health

- 10+ years experience in both mental health and substance use disorders

- 5+ years experience in managed care

- Valid unrestricted professional behavioral health clinical license to practice per state regulations in the state they reside in (one or more or equivalent is required: LPC, LMFT, LCSW, LMHC, LCMHC, LICSW, LISW, LMSW, Clinical Psychologist or RN with BH experience)

Preferred Qualifications:

-Advanced knowledge of problem solving and decision making skills

-Strong multi-tasking abilities with the ability to handle competing deadlines; flexible and adaptable.

-Ability to deal tactfully with customers and community.

-Advanced communication skills used to lead a team.

-Advanced execution and delivery (planning, delivering, and supporting) skills

-Ability to handle sensitive information ethically and responsibly.

-Advanced collaboration and teamwork skills.

-Advanced skills in execution and delivery (planning, delivering, and supporting).

-Advanced digital literacy skills

Education

Minimum of a Master's Degree required

Pay Range

The typical pay range for this role is:

$80,340.00 - $173,040.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 12/14/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.