[Remote] Quality - Practice Transformation Advisor at CVS Health

Illinois, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

5-7 years of experience in healthcare quality improvement, provider relations, or a related role
In-depth knowledge of healthcare regulations, clinical operations, quality standards, and performance metrics
Strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify improvement opportunities
Ability to reside in Illinois

Responsibilities

Establish and maintain engagement with large provider groups that have a membership of 1,000 or greater
Conduct comprehensive analysis of provider performance metrics as well as clinical operations for VBC readiness and risk assessment
Collaborate with cross-functional teams to assess practice operations against industry best practices in primary care
Design and deliver training programs, workshops, and educational materials for primary care and specialty providers and their staff
Lead initiatives aimed at improving provider performance
Conduct regular audits, reviews, and assessments of provider practices, documentation and compliance
Collaborate closely with internal teams, including clinical and operational leadership, value-based care, quality management teams and provider relations teams
Utilize data management systems and analytics tools to collect, analyze, and report provider performance data
Stay abreast of industry trends, best practices, and regulatory changes related to provider performance and healthcare quality
Support population health and health equity initiatives to improve care gap closure rates and health outcomes
Conduct research and benchmarking activities to identify innovative approaches and opportunities for improvement

Skills

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters

1963Year Founded

DEBTCompany Stage

Healthcare, Consumer GoodsIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.

The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.

The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.

The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.

CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.

Increased consumer interest in wellness boosts demand for CVS's health-related products.

The trend towards value-based care aligns with CVS's integrated healthcare approach.

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