Sr Mgr,MC Clinical SPM R22 at CVS Health

Pineville, Kentucky, United States

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Not SpecifiedCompensation

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

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Leadership experience managing teams of NPs, PAs, and/or LVNs/LPNs
Knowledge of clinical quality standards, coding compliance, clinic protocols, and practice guidelines
Understanding of State Provider Practice Acts, State Board regulations, regulatory agency standards, and organizational policies
Ability to review and analyze clinical, educational, quality, safety metrics, dashboards (e.g., HEDIS, NPS, RVUs)
Skills in provider training, education, development, and interprofessional practice
Expertise in healthcare administration, fiscal management (payroll, travel budgets), and business tools/systems
Knowledge of clinical practice, patient care standards, healthcare policy, evidence-based practice, outcome measurement, patient safety, quality improvement, and risk management
Strong communication, team building, talent development, and process improvement skills
Ability to model organizational purpose, culture, values, and ensure bidirectional communications

Responsibilities

Lead clinic team in achieving clinical quality standards, coding compliance, and adherence to protocols/guidelines
Partner with Senior/Field Educators and Senior Clinicians for provider training, education, and development
Lead interprofessional practice with internal/external physicians for coordinated care
Review metrics/dashboards to identify trends/outliers, implement action plans for clinical excellence
Ensure compliance with regulations and support quality/patient safety improvement efforts
Evaluate operational effectiveness, lead process improvements, and assess clinical/professional performance
Manage team/leadership communications, provider experience, performance management, and employee relations
Plan, implement, and supervise MC services; develop intervention strategies and assess outcomes
Manage fiscal responsibilities to budget and ensure use of business tools/policies
Partner with AD and Business Operations for growth initiatives and operational improvements
Provide visionary thinking, critically analyze regional issues, and maintain up-to-date professional knowledge

Skills

Key technologies and capabilities for this role

Healthcare ManagementClinical QualityTeam LeadershipCoding ComplianceProvider TrainingHEDISNPSRVUsPractice GuidelinesQuality MetricsBusiness PerformanceFinancial Objectives

Questions & Answers

Common questions about this position

Is this a full-time position and how many hours per week?

Yes, this is a full-time position requiring at least 40 hours a week.

What is the salary range for this Senior Practice Manager role?

This information is not specified in the job description.

What are the key responsibilities of the Senior Practice Manager?

The role involves leading a team of NPs, PAs, and/or LVNs/LPNs to achieve clinical quality standards and business objectives, ensuring coding compliance, provider training, and reviewing metrics like HEDIS, NPS, and RVUs.

What does the team structure look like for this role?

The Senior Practice Manager leads a team of NPs, PAs, and/or LVNs/LPNs in their assigned region and reports to the Area Director.

How does CVS Health's culture play into this role?

The role requires consistently modeling the CVS MinuteClinic purpose, culture, and values through words and actions, while fostering effective team communications and the Provider Experience.

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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