Senior Clinical Strategist

This is a fully remote position, open to applicants in Arizona, +10 more states.

📋 Description

• Collaborate with designated Aetna Medicare Provider Collaboration teams to enhance performance.

• Lead initiatives aimed at improving clinical performance.

• Oversee multiple intricate deliverables throughout the implementation process.

• Support population health initiatives that primarily affect Stars, quality, utilization, and costs.

• Build trusting relationships with provider partners.

• Act as a clinical expert on matters related to Care Management, gap closure, workflow discussions, and collaboration with case management leadership and case managers.

• Function as both an internal and external liaison as well as a clinical resource.

• Analyze data and instruct partners on utilizing it for enhancing provider collaboration performance.

• Collaborate with internal and external subject matter experts and clinical teams to drive impactful outcomes and boost efficiencies.

• Organize and facilitate clinically focused meetings.

• Identify potential opportunities and prioritize goals and interventions to close care gaps and achieve optimal Stars performance.

• Work collaboratively across various functions and segments to secure consensus from affected parties.

• Partner with Engagement Managers, Local Market Team, Data Team, Medical Operations, and others on Stars and quality enhancement initiatives.

• Travel up to 25% to support Value Based Care groups.

⛳️ Requirements

• Must be a Registered Nurse with an active and unrestricted license in the state of residence.

• Minimum of 4 years of case management experience.

• At least 3 years of clinical experience.

• A minimum of 1 year in a leadership or supervisory role.

• 4+ years of experience using Outlook.

• 4+ years of experience with Microsoft PowerPoint.

• 4+ years of experience with Microsoft Excel.

• 1+ year of experience with SharePoint.

• Excellent communication and interpersonal skills.

• Demonstrated success in meeting project milestones and negotiating for resources.

• Proven negotiation and project management skills.

• Successful experience in a matrixed environment.

• At least 1 year of managed care experience.

• Capable of creating accountability, developing and executing strategies, and driving change.

• Must reside in one of the following states: WA, OR, ID, UT, WY, MT, NV, AZ, TX, NM, OK.

• Available for scheduling Monday to Friday, from 8am to 5pm.

🏝️ Benefits

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

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being, based on eligibility.