- Specialty: Quality Management
- Job type: Full-time
- Salary: $30 – $35 / hr
- License states: Florida
- In-office
In-office
At a glance
Remote RN clinical strategist supporting Aetna Medicare Provider Collaboration groups. Leads clinical performance improvement projects focused on Stars, quality, utilization, and cost. Requires an active unrestricted RN license in the state of residence and 4+ years of case management experience.
Fully remote role with requirement to reside in the Northwest/Mountain area (ID, MT, NV, OR, UT, WA, WY) and be a Registered Nurse (RN) licensed in the state of residence.
Travel up to 25% possible in support of Value Based Care groups.
Schedule is Monday - Friday 8am to 5pm. No nights, no weekends and no holidays.
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:
-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)
-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
Preferred Qualifications
-Strong communication and interpersonal skills. -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
Education
Registered Nurse / Bachelor ‘s Degree preferred or equivalent experience.
40
Full time
$78,331.00 - $206,206.00
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.
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.
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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