Clinical Program Consultant, CVS Health

CVS Health

Location:
United States

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

60300.00 - 145860.00 USD / Year

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Job Description:

Exciting opportunity with the team for an experienced clinician with an intellectual curiosity, desire for continuous learning and passion to improve population health. The successful CPC is highly collaborative, energetic, and organized in their approach to customer data analysis. Working proactively with the account team, Care management teams, peers, and other key enterprise partners to support our commercial plan sponsors. The Clinical Program Consultant fulfills the company mission of helping people on their path to better health by leveraging clinical, analytical, and consultative skills to evaluate benefit design and plan performance for our customers.

Job Responsibility:

Provide progressive consultative clinical insights based on analysis of clinical plan utilization and impact of member behavior on medical plan costs
Recommend clinical programs and services that align with the customer's strategy and help drive short- and long-term results
Analyze, synthesize, and present clinical content with recommended actions to drive member behavior change and help improve plan performance in customer facing meetings
Act as a trusted clinical resource educating constituents about population health, industry trends, and impact of health disparities
Collaborate across the enterprise to drive goal alignment with customer and health plan
Provide input to customer’s population health strategy across the clinical spectrum
Create and propose solutions to improve member health including leveraging community opportunities and resources

Requirements:

Minimum of 5 years clinical experience (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+ years of Healthcare Consultation Experience working with External Constituents
Unrestricted active registered nurse license
1+ years leadership experience
Experience working with a Health Insurance Carrier
Experience with benefit plan design
Adept at communicating chronic conditions and impact on population health
Strong problem-solving skills and attention to detail
Strong clinical analytic skills and demonstrated conceptual thinking
Experience communicating for impact with large groups
Proficient consultative, communication and presentation skills
Skilled at 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 (Excel, PowerPoint, Word, and Outlook)
BSN degree or equivalent experience

Nice to have:

Unrestricted active registered nurse license
1+ years leadership experience
Experience working with a Health Insurance Carrier
Experience with benefit plan design
Adept at communicating chronic conditions and impact on population health
Strong problem-solving skills and attention to detail
Strong clinical analytic skills and demonstrated conceptual thinking
Experience communicating for impact with large groups
Proficient consultative, communication and presentation skills
Skilled at 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 (Excel, PowerPoint, Word, and Outlook)

What we offer:

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
July 19, 2025

Expiration:
September 30, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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Clinical Program Consultant