Practice Transformation Advisor, CVS Health

CVS Health

Location:
United States, Trenton

Category:
Health and Beauty

Contract Type:
Employment contract

Salary:

72360.00 - 159120.00 USD / Year

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Job Description:

The Manager, Practice Transformation plays a critical role in supporting the highest standards of practice performance and quality within our organization's network of healthcare providers. The primary focus is to identify areas for quality improvement, partner with provider practices to implement quality strategies that improve quality and cost of care, member, and clinician experience, and drive positive outcomes in the delivery of patient care.

Job Responsibility:

Establish and maintain engagement with large provider groups that have a membership of 1,000 or greater
Conduct comprehensive analysis of provider performance metrics as well as clinical operations for VBC readiness and risk assessment
Collaborate with cross-functional teams to assess practice operations against industry best practices in primary care
Design and deliver training programs, workshops, and educational materials for primary care and specialty providers and their staff
Lead initiatives aimed at improving provider performance
Conduct regular audits, reviews, and assessments of provider practices, documentation, and compliance
Collaborate closely with internal teams to align provider performance objectives with organizational goals
Utilize data management systems and analytics tools to collect, analyze, and report provider performance data
Stay abreast of industry trends, best practices, and regulatory changes related to provider performance and healthcare quality

Requirements:

New Jersey resident – must live in one of the northern counties (e.g., Middlesex, Somerset, Hunterdon, Warren, Morris, Essex, Hudson, Bergen, Passaic, Sussex)
5-7 years of experience in healthcare quality improvement, provider relations, or a related role
In-depth knowledge of healthcare regulations, clinical operations, quality standards, and performance metrics
Strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify improvement opportunities
Excellent communication, presentation and interpersonal skills to collaborate with and effectively influence provider groups and executives, team members, and stakeholders at all levels
Proven experience in designing and delivering training programs or educational initiatives
Proficiency in data management and analysis tools, such as Excel or data visualization software
Familiarity with electronic health record systems and healthcare information technology
Detail-oriented, organized, and able to manage multiple projects simultaneously
Ability to work independently, demonstrate initiative, and drive results in a fast-paced environment
Position is remote – secure home network required and familiar with Microsoft Office products and VPN
Bachelor's degree or commensurate work experience in healthcare administration, public health, or a related field

Nice to have:

Understanding of HEDIS performance measures
Diagnosis and procedure coding experience
Licensed Allied Health Professional, or Licensed Registered Nurse
Certified Six Sigma Green Belt
Certified Professional in Healthcare Quality (CPHQ) or equivalent
Certified NCQA PCMH Content Expert

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
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:
August 27, 2025

Expiration:
August 29, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Practice Transformation Advisor