[Remote] Senior Manager - Business Consultant at CVS Health

Connecticut, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Health InsuranceIndustries

Requirements

7+ years experience (may be a combination of different sites of care practice including: hospital, clinic, and/or community health) with a strong understanding of clinical practice
Willing to work Eastern Time Zone hours
Willingness to travel to meet with customers and review plan performance, discuss recommendations, etc., as determined by the customer
Experienced clinician with a passion for consulting and improving overall population health
Ability to leverage clinical, analytic, and consultative skills

Responsibilities

Provide clinical consultation based on analysis and identification of key drivers of results (e.g., use data to identify clinical trends)
Align clinical programs with customer strategy, evaluate performance results, monitor engagement, and proactively identify opportunities for improvement
Recommend clinical programs, services, and plan design changes that align with the customer's population health strategy and help drive short- and long-term results (e.g., assisting with development of health strategies, tactics, policies, and programs including network management, clinical coverage, care management, and compliance policies)
Perform independent development and presentation of clinical content with recommendations in customer-facing meetings (e.g., present findings and recommended actions to help improve performance and clinical outcomes, working collaboratively to track and resolve issues)
Research and evaluate programs and processes to identify savings and efficiency opportunities that may result in policy and procedure changes impacting the customer and the enterprise
Act as a trusted clinical resource providing clinical program guidance
Collaborate across the enterprise and with clinical operations to optimize collaboration, efficiency, and impact
Provide input to the design of clinical solutions and workflows leveraging knowledge of workflow, policy, and procedures to ensure teams can work collaboratively
Stay current on, and share knowledge of, population health trends
Provide coaching, direction, feedback, and support to other matrixed team members including external vendors to drive integrated value for the plan sponsor

Skills

clinical consultation

population health

data analysis

health plan performance

clinical programs

care management

network management

plan design

clinical trends

performance evaluation

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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