Manager, Practice Transformation

This is a fully remote position, open to applicants in Idaho, +2 more states.

📋 Description

• Build and sustain relationships with large provider groups that have memberships of 1,000 or more.

• Evaluate provider performance metrics and clinical operations to assess readiness for value-based care and risk evaluation.

• Pinpoint areas for enhancement and formulate data-driven strategies to elevate provider performance and boost financial incentives.

• Examine practice operations in relation to best practices within the primary care industry.

• Create and implement training programs, workshops, and educational resources for providers and their teams.

• Conduct sessions focused on clinic operations, quality standards, regulatory adherence, member experiences, and patient-centered care.

• Spearhead performance improvement projects and execute performance enhancement plans.

• Track progress and assess the effectiveness of interventions alongside practice partners.

• Perform audits, reviews, and evaluations of provider practices, documentation, and compliance measures.

• Offer constructive feedback and suggestions for improvement.

• Collaborate with clinical and operational leadership, teams focused on value-based care, quality management, and provider relations.

• Cultivate professional relationships with providers, offering guidance, feedback, and support.

• Utilize data management systems and analytical tools to gather, assess, and report on provider performance data.

• Generate reports, dashboards, and presentations for senior leadership's review.

• Keep abreast of industry trends, best practices, and regulatory updates pertinent to provider performance and healthcare quality.

• Contribute to population health and health equity initiatives.

• Engage in research and benchmarking to uncover innovative opportunities for improvement.

• Work remotely with up to 30% regional travel required.

⛳️ Requirements

• 5–7 years of experience in healthcare quality improvement, provider relations, or a similar field.

• Comprehensive understanding of healthcare regulations, clinical operations, quality standards, and performance metrics.

• Strong analytical and problem-solving abilities, with a knack for interpreting complex data sets.

• Outstanding communication, presentation, and interpersonal skills.

• Proven experience in designing and delivering training programs or educational initiatives.

• Proficient in data management and analysis tools, such as Excel or data visualization software.

• Knowledge of electronic health record systems and healthcare information technology.

• Detail-oriented, organized, and capable of managing multiple projects at once.

• Ability to work independently, show initiative, and achieve results in a dynamic environment.

• Capability to work remotely with a secure home network.

• Familiarity with Microsoft Office products and VPN technology.

• Willingness to travel regionally up to 30% of the time.

• Bachelor's degree or equivalent experience in healthcare administration, public health, or a related discipline.

• Preferred: Licensed Allied Health Professional or Licensed Registered Nurse.

• Preferred: Experience in coding, provider-facing roles, clinical settings, or provider practices.

• Preferred: Certified Six Sigma Green Belt.

• Preferred: Certified Professional in Healthcare Quality (CPHQ) or an equivalent qualification.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program in addition to the base salary range.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting the physical, emotional, and financial well-being of colleagues and their families, based on eligibility.