Senior Clinical Strategist, CVS Health

CVS Health

Location:
United States, Work at Home

Category:
-

Contract Type:
Employment contract

Salary:

95738.00 - 206206.00 USD / Year

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Job Description:

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.

Job Responsibility:

Drive improved performance by leading clinical performance improvement projects
Manage multiple complex deliverables through to implementation
Support population health focusing on Stars and quality improvements
Establish trusting relationships with provider partners
Serve as clinical expert on actionable opportunities related to CM, gap closure, workflow discussions
Serve as internal and external liaison and clinical resource
Strategize with SMEs and clinical teams to drive outcomes and improve efficiencies
Coordinate and conduct clinically focused meetings to identify opportunities and prioritize goals
Collaborate across multiple functions and segments

Requirements:

Registered Nurse with active and unrestricted license in state the candidate resides
4+ years of case management experience
3+ years clinical experience
1+ year leadership or supervisory experience
4+ years of Outlook experience
4+ years of Microsoft Power Point experience
4+ years of Microsoft Excel experience
1+ years of SharePoint experience
Bachelor's Degree preferred

Nice to have:

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
Creating accountability, developing and executing strategy and driving change

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
Financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access
CVS Health bonus, commission or short-term incentive program

Additional Information:

Job Posted:
October 03, 2025

Expiration:
October 13, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Senior Clinical Strategist