• Job Description

  Req#: R0233449

  Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
  
  Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

  POSITION SUMMARY:

  Work at home with requirement to reside in or around Newark, NJ

  Shift is Monday-Friday standard business hours.

  No nights, no weekends and no holidays.

  Travel is approximately 50% in Newark, NJ

  As the ACO (Accountable Care Organization) REACH (Realizing Equity Access and Community Health) membership grow s across the country, the ACO REACH Clinical performance team needs resources to ensure high-quality execution of transformation efforts and performance initiatives to drive success of the ACO model. This position will assist in accomplishing the organizational needs by being dedicated directly to our partners.

  • This role is key to facilitating transformation of the care that is delivered to ACO REACH attributed lives, strengthening the patient-centric collaboration between CVS ACO Inc. and our provider networks. The role is provider/clinic facing and is responsible for driving to continuous improvements in quality and patient experience, decreasing the total cost of care and translating to profitable growth.

  • Analyze and report on provider quantitative performance and operational capabilities and to execute a strategic roadmap.

  • This role will have in depth knowledge of each of the practices assigned and consistently collaborate with all stakeholders. The role will also be responsible for supporting clinical performance meetings where applicable.

  • Possess an ability to review, analyze, and address gaps in service excellence, policies, and/or procedures proactively; identify issues and implement solutions.

  • Possess an understanding of the key drivers of value-based care including clinical outcomes, growth, and Profits & Loss statement

  • Collaborating for results across a wide array of team members within ACO Leadership

  • Effective communication and interpersonal skills and an ability to develop relationships across the organizational leadership

  Required Qualifications

  • 3+ years of prior work experience managing operational & quality management KPIs in a healthcare setting

  • 2 +years managed care (MCO) experience

  • 1+ year prior leadership experience

  • 2+ years of analyzing complex data analysis and reporting & deliver presentations to providers

  One of the following licenses is required:

  • Required RN (Registered Nurse) that must hold an unrestricted license in their state of residence, with multi-state/compact privileges and have the ability to be licensed in all non-compact states OR LCSW (Licensed Clinical Social Worker) OR OT (Occupational Therapist) OR P T (Physical Therapist)

  Preferred Qualifications

  • 5+ years of healthcare performance management

  • 2+ years value based care experience

  • Medicare experience

  Education

  Bachelor's required

  Master's Degree preferred

  Pay Range

  The typical pay range for this role is:

  $100,090.25 - $215,600.00

  This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
  
  In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
  
  For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

  We anticipate the application window for this opening will close on: 08/02/2024

  Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

• About the company

  At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simple and seamless, to not only help people get well, but help them stay well in body, mind and spirit.

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