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.

The Transformation Consultant reports directly to the Director of Provider Transformation.  The Transformation Consultant is responsible for the following:

• Assist with the design of the enterprise wide and/or cross-functional solutions to address Joint Venture (JV) business needs. This work results in the implementation of initiatives that impact JV provider strategy enabling the VBC/Network teams to be competitive in the marketplace and effectively serve its customers.
• Partners with business owners to optimize the achievement of strategic business objectives, to include profitable growth and improved organizational effectiveness.
  • Focus includes one or more of the following disciplines:
    • Management consulting,
    • Business process/project consulting,
    • Financial strategic analysis,
    • Population health management
    • Physician governance and incentive models
    • Patient engagement models

• Responsible and accountable for day to day tactical follow through of the transformation road map including implementation and tracking of programs within the JV that will improve total medical cost, membership growth and achieve the Triple Aim.
• Anticipates implementation challenges and develops solutions to overcome change resistance from Client thereby mitigating delays or challenges in attaining roadmap implementation objectives and timelines.
• Develops transformational projects to position assigned clients for sustainable population health effectiveness across their full continuum of care delivery providers.
• Generally, Supports between 8-10 JVs.
• Involved in initiative planning, ongoing client relationship management and customer satisfaction for assigned initiatives that impact the delivery of products and services to the internal and external environment.
• Collaborates with external vendors, external consultants and Aetna team members as required in support of initiatives.
• Accountable for transferring knowledge, best practices (external and internal), methodology and tools to client organizations.
• Participates as a team member, may be responsible for concurrent initiatives or act as team lead for less complex projects based on resource requirements.
• Utilizes project management principles and processes to promote successful population health management outcomes.
• Provides support to assigned clinical transformation program implementation efforts.
• Provides supports in coordinating project activities, meetings, and status reporting.
• Collaborates with Informatics team to make sure all required reporting is provided in a timely manner and per scheduled client meetings.

Fundamental Components & Physical Requirements include but are not limited to

• Supports holistic solutions and/or key strategic plans.
• Proactively identifies opportunities for improvement within assigned initiatives.
• Participates and supports metrics integration and execution for optimal results. Shares joint accountability for initiative’s return on investment.
• Communicates compelling and concise results to empower client groups in the decision-making process regarding project opportunities.
• Designs, develops interventions, and facilitates work sessions. Develops and delivers all required analysis, reporting and presentation materials necessary to communicate.
• Gathers, analyzes, and synthesizes business intelligence to drive achievement of strategic business objectives
• Builds and utilizes diverse internal and external networks, as appropriate, for data gathering and best practice identification.
• Leverages internal and external networking to drive optimal initiative results and transfer knowledge and best practices.

• Exhibits the following Business Consultant Behaviors:
  • Critical thinking skills
  • Time management skills
  • Organizational skills
  • Negotiation/influencing skills
  • Relationship and change management skills
  • Analytical and planning skills
  • Oral and written communication skills
  • Team leadership and team building skills

Background/Experience Desired

• 3-5 years of experience in health care provider or payor environment project management.
• Experience with moderate scale initiatives with moderate degree of complexity.
• Operational experience in a relevant discipline.
• Demonstrated superior business process, project management and organizational redesign experience.
• Demonstrated experience successfully implementing change in complex organizations.
• Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.

Preferred Qualification:

• Project management experience a plus
• Appropriate licensure or certification by discipline preferred.
• Lean six sigma certification or willingness to receive training

Education and Certification Requirements

• Bachelor's degree or equivalent experience.
• Master’s degree preferred, but not required.
• Project management experience a plus
• Appropriate licensure or certification by discipline preferred.
• Lean six sigma certification or willingness to receive training

Pay Range

The typical pay range for this role is:

$82,940.00 - $182,549.00

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.  This position also includes an award target in the company’s equity award program. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 04/02/2025

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