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CVS Health · 11 hours ago

Quality - Practice Transformation Advisor

United States

Full-time

Remote

Mid, Senior Level

$47K/yr - $112K/yr

5+ years exp

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. The Quality Practice Transformation Advisor plays a critical role in supporting the highest standards of practice performance and quality within the organization's network of healthcare providers, focusing on quality improvement and provider engagement.

Health CareMedicalPharmaceuticalRetailSales

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. This includes clinical quality indicators, patient and provider satisfaction ratings and operational efficiency measures. Identify areas of improvement and develop data-driven strategies to improve provider performance and financial rewards

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 in key operational domains to achieve improved health outcomes. Facilitate sessions on clinic operations, quality standards, regulatory compliance, member experience and patient-centered care to enhance provider skills and knowledge

Lead initiatives aimed at improving provider performance. Develop and implement performance improvement plans, monitor progress, and evaluate the effectiveness of interventions in collaboration with practice partners

Conduct regular audits, reviews, and assessments of provider practices, documentation and compliance. Provide feedback and recommendations for improvement

Collaborate closely with internal teams, including clinical and operational leadership, value-based care, quality management teams and provider relations teams to align provider performance objectives with organizational goals. Foster effective working relationships with providers, offering guidance, feedback, and support to facilitate their success

Utilize data management systems and analytics tools to collect, analyze, and report provider performance data. Prepare comprehensive reports, dashboards, and presentations for senior leadership, highlighting key performance indicators, trends, and improvement opportunities

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

Qualification

Healthcare quality improvementData managementAnalysisPerformance metrics knowledgeTraining program designHealthcare regulations knowledgeAnalytical skillsMicrosoft Office proficiencyElectronic health records familiarityVPN familiarityLicensed Allied Health ProfessionalCertified Six Sigma Green BeltCertified Professional in Healthcare QualityNCQA PCMH Content ExpertCommunication skillsInterpersonal skillsProblem-solving skillsOrganizational skillsDetail-orientedIndependent workFast-paced environment

Required

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

Excellent communication, presentation and interpersonal skills to collaborate with and effectively influence provider groups and executives, team members, and stakeholders at all levels

Proven experience in designing and delivering training programs or educational initiatives

Proficiency in data management and analysis tools, such as Excel or data visualization software

Familiarity with electronic health record systems and healthcare information technology

Detail-oriented, organized, and able to manage multiple projects simultaneously

Ability to work independently, demonstrate initiative, and drive results in a fast-paced environment

Position is remote – secure home network required and familiar with Microsoft Office products and VPN

Bachelor's degree or commensurate work experience in healthcare administration, public health, or a related field