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
improvement

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, New Jersey. Eastern PA or Western CT
• 4+ years of Microsoft Outlook experience
• 4+ years of Microsoft Power Point experience
• 4+ years of Microsoft Excel experience
• 1+ years of SharePoint experience

Preferred Qualifications

• 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 managed care experience
• Creating accountability, developing and executing strategy and driving change

Education

• Preferred Bachelor's Degree, RN license required

Pay Range

The typical pay range for this role is:

$87,035.00 - $215,600.00

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 jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 11/01/2024

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