Senior Clinical Strategist

This is a fully remote position, open to applicants in Montana, +5 more states.

📋 Description

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

• Lead projects aimed at improving clinical performance and oversee complex deliverables through their implementation.

• Support population health initiatives that center on Stars, quality, utilization, and expenditures.

• Build trusting relationships with provider partners.

• Act as a clinical expert in case management, gap closure, and workflow optimization.

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

• Serve as both an internal and external liaison and clinical resource.

• Analyze data and educate stakeholders on leveraging data for enhancing provider collaboration performance.

• Work alongside subject-matter experts and clinical teams to drive outcomes and boost efficiencies.

• Organize and lead clinically focused meetings to pinpoint opportunities, set priorities, and address care gaps.

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

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

⛳️ Requirements

• Active and unrestricted Registered Nurse (RN) 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.

• Over 4 years of experience using Outlook.

• More than 4 years of experience with Microsoft PowerPoint.

• At least 4 years of experience using Microsoft Excel.

• A minimum of 1 year of experience with SharePoint.

• Must reside in the West Coast area, excluding California.

• Preferred: Registered Nurse / Bachelor's degree or equivalent experience.

• Ability to travel up to 25% may be necessary.

• Availability to work Monday through Friday, from 8 am to 5 pm.

🏝️ 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 salary.