At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary
Exciting opportunity with the team for an experienced clinician with an intellectual curiosity, desire for continuous learning and passion to improve population health. The successful CPC is highly collaborative, energetic, and organized in their approach to customer data analysis. Working proactively with the account team, Care management teams, peers, and other key enterprise partners to support our commercial plan sponsors.The Clinical Program Consultant fulfills the company mission of helping people on their path to better health by leveraging clinical, analytical, and consultative skills to evaluate benefit design and plan performance for our customers.
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In this role, the consultant is empowered to:
- Provide progressive consultative clinical insights based on analysis of clinical plan utilization and impact of member behavior on medical plan costs.
- Recommend clinical programs and services that align with the customer's strategy and help drive short- and long-term results.
- Analyze, synthesize, and present clinical content with recommended actions to drive member behavior change and help improve plan performance in customer facing meetings.
- Act as a trusted clinical resource educating constituents about population health, industry trends, and impact of health disparities.
- Collaborate across the enterprise to drive goal alignment with customer and health plan.
- Provide input to customer's population health strategy across the clinical spectrum.
- Create and propose solutions to improve member health including leveraging community opportunities and resources.
- Minimum of 5 years clinical experience (3 years in acute care, the other 2 years may be a combination of different sites of care including: hospital, clinic, and/or community health).
- 1+ years of Healthcare Consultation Experience working with External Constituents.
- Unrestricted active registered nurse license.
- 1+ years leadership experience.
- Experience working with a Health Insurance Carrier.
- Experience with benefit plan design.
- Adept at communicating chronic conditions and impact on population health.
- Strong problem-solving skills and attention to detail.
- Strong clinical analytic skills and demonstrated conceptual thinking. This includes utilizing Excel and other reporting mechanisms to support analysis.
- Experience communicating for impact with large groups.
- Proficient consultative, communication and presentation skills (especially PowerPoint).
- Skilled at organizing and responding to multiple deliverables in a timely and professional manner.
- Ability to establish highly collaborative relationships within and outside the organization including at the executive level.
- Proficient with MS Office programs (Excel, PowerPoint, Word, and Outlook).
BSN degree or equivalent experience. Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:$60,300.00 - $145,860.00This 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.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.