Senior Clinical Strategist

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

📋 Description

• Build trusting relationships with provider partners to encourage open lines of communication.

• Lead initiatives aimed at improving clinical performance for designated Aetna Medicare Provider Collaboration groups.

• Oversee multiple intricate deliverables throughout their implementation.

• Act as a clinical expert on matters related to case 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 educate stakeholders on leveraging data for enhancing provider collaboration performance.

• Collaborate with both internal and external subject matter experts and clinical teams to drive results and enhance efficiencies.

• Organize and facilitate clinically focused meetings to pinpoint opportunities, prioritize objectives and interventions, close care gaps, and achieve optimal Stars performance.

• Work together with various functions and segments to secure agreement from all affected parties.

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

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

• Maintain a work schedule of Monday to Friday, 8am to 5pm; no evenings, weekends, or holidays.

⛳️ Requirements

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

• Minimum of 4 years of experience in case management.

• 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 proficiency in Microsoft PowerPoint.

• 4+ years of experience with Microsoft Excel.

• At least 1 year of experience using SharePoint.

• Excellent communication and interpersonal abilities.

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

• Proven skills in negotiation.

• Established project management abilities.

• Successful experience in a matrixed environment.

• Minimum of 1 year of experience in managed care.

• Registered Nurse / Bachelor’s Degree is preferred or equivalent experience.

• Candidates must reside in WA, OR, ID, UT, WY, MT, NV, AZ, TX, NM, or OK.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

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

• CVS Health bonus, commission, or short-term incentive program.