Senior Clinical Strategist

This is a fully remote position, open to applicants in Idaho, +6 more states.

📋 Description

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

• Lead initiatives to improve clinical performance and oversee multiple complex deliverables throughout the implementation phase.

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

• Build trusting relationships with provider partners.

• Act as a clinical expert on case management, gap closure, and workflow discussions.

• Partner with case manager supervisors/managers and case managers.

• Serve as both an internal and external liaison, providing clinical resources.

• Analyze data and educate stakeholders on utilizing data for performance enhancement.

• Collaborate with subject matter experts and clinical teams to drive outcomes and enhance efficiencies.

• Coordinate and facilitate clinically focused meetings to identify opportunities and set priorities for goals and interventions.

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

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

• Travel may be required up to 25% to support Value-Based Care groups.

• Work schedule is Monday through Friday, from 8 a.m. to 5 p.m., with no nights, weekends, or holidays.

⛳️ Requirements

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

• Must reside in the Northwest/Mountain area: Idaho, Montana, Nevada, Oregon, Utah, Washington, or Wyoming.

• Minimum of 4 years of case management experience.

• Minimum of 3 years of clinical experience.

• At least 1 year of leadership or supervisory experience.

• A minimum of 4 years of experience with Outlook.

• A minimum of 4 years of experience with Microsoft PowerPoint.

• A minimum of 4 years of experience with Microsoft Excel.

• At least 1 year of experience with SharePoint.

• Strong communication and interpersonal skills are essential.

• Demonstrated ability to meet project milestones and negotiate for resources.

• Proven negotiation skills.

• Proven project management skills.

• Successful experience in a matrixed environment.

• At least 1 year of managed care experience is preferred.

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

🏝️ 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 in addition to base pay.