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Position Summary
This is a full-time telework role with up to 25% travel.

Hours for this position are Monday-Friday 8:00 am -5:00 pm EST.

Excellent opportunity for experienced healthcare professional with a passion for consulting and improving overall population health to leverage clinical, analytic, and consultative skills to join our team of Medicare Advantage Manager, Business Consultants (MANAGER, BUSINESS CONSULTANT) who offer clinical insights and solutions to help improve health plan performance for our group commercial plan sponsors. The MANAGER, BUSINESS CONSULTANT role is a highly collaborative position working proactively with the Aetna account team, Aetna’s Care management teams, the Plan Sponsor Insights organization and key enterprise partners to support our customers.

This is a customer-facing role with travel throughout the year up to 25% (or minimally 4x per year to attend customer meetings) or higher. Currently all work is performed virtually. This is a virtual work from home position except for required customer travel.

In this role, the candidate will:
• Provide consultative clinical insights based on analysis and identification of key drivers of results; includes analysis of high-cost claimants, transplants, etc.
• Recommend clinical programs and services that align with the customer's strategy and help drive short- and long-term results.
• Development and presentation of clinical content and recommendations in customer facing meetings e.g. present findings and recommended actions to help improve performance and clinical outcomes, and work collaboratively to help track and resolve issues
• Act as a trusted clinical resource; share current information about population health trends.
• Collaborate across the enterprise and with care management to understand gaps and identify opportunities.
• Provide input to customer’s population health strategy across the clinical spectrum.

Manager, Business Consultants are key members of the Plan Sponsor Insights (PSI) business - a business focused on providing insights and solutions based on analytics to customers in the group commercial business. The work environment supports and thrives on out-of-the box thinking, creative talent and a consultative approach. Our team consists of physician, clinical, well-being, and analytic consultants. Our support is highly valued by our internal partners as well as the customers we serve.

Required Qualifications

• 5+ years’ experience in a clinical/healthcare setting (3+ years in acute care, the other 2+ years may be a combination of different sites of care including hospital, clinic, and/or community health)
• 1+ year(s) of Healthcare Consultation experience working with external Constituents
• 3+ years of utilizing Excel and other reporting mechanisms to support analysis.
• Willing and able to travel up to 25%. Reliable transportation required. Mileage reimbursed per our company expense reimbursement policy.

Preferred Qualifications

• 3+ years Leadership experience
• Experience working with a Health Insurance Carrier
• Experience with benefit plan design
• Strong clinical analytic skills and demonstrated conceptual thinking.
• Strong critical thinking skills and attention to detail
• Experience communicating for impact; driving change.
• Excellent consultative, communication and presentation skills (especially PowerPoint,); ability to take complex content and facilitate understanding for the audience.
• Comfortable with organizing and responding to multiple deliverables in a timely and professional manner.
• Ability to establish highly collaborative relationships within and outside the organization including at the executive level.
• Proficient with MS Office programs.

Education

Minimum of an associate degree required
Bachelor's degree or 5+ years of equivalent work experience preferred

Registered Nurse License preferred but not required.

Pay Range

The typical pay range for this role is:

$54,300.00 - $159,120.00

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: 10/04/2024

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