Specialist,Population Health-Regional at CVS Health

Bronx, New York, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Primary CareIndustries

Requirements

6 months experience working in a healthcare setting
Bachelor’s degree required
Deep understanding of coding and billing, EMR navigation, Oak Street Health clinical guidelines, morning huddle responsibilities, and CDR responsibilities
Eagerness to advance the CIS program's efficiency and effectiveness
Strong accountability and discipline against timelines and deliverables
US Work Authorization
Embodies 'being Oaky' (radiating positive energy, assuming good intentions, creating an unmatched patient experience, driving clinical excellence, taking ownership and delivering results, being relentlessly determined)
Competent, Dependable, Inclusive, Seamless
Strongly Preferred Qualifications
Leadership experience and/or natural tendency to lead
Comfortable with ambiguity and have a love for problem-solving
Basic Excel knowledge and experience

Responsibilities

Drive CDR efficiency by reviewing patient charts and identifying relevant medical information in advance of CDR
Partner with the Population Health Director to facilitate the execution of backend care report processes to move toward resolution between CDRs, including note amendments and order placement
Lead the Daily Lookback process to review previous documentation, identify actions that need to be taken to align with clinical guidelines, and develop a strategy for completion
Support care teams by providing additional assistance in the review of patient information for new care teams, both new and previous patients under a different provider panel, to identify and bring forward accurate and specific historical information that can help care teams close the knowledge gap
Play a critical role in leveraging data analytics and strategic thinking to identify key clinical documentation insights and drive high-impact clinical documentation initiatives
Other duties, as assigned

Skills

Clinical Documentation

Patient Chart Review

CDR

Daily Huddles

Canopy Modules

Clinical Guidelines

Care Reports

Note Amendments

Population Health

Healthcare Compliance

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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