C

CVS Health

Runs pharmacies, health plans and clinics

Lead Specialist Population Health Regional

Clinical Support & Patient AdministrationPosted on Nov 12
Full-timeMetairie, LA, USAHybrid

About the Job

Requirements

  • At least 6 months of experience working in a healthcare setting.
  • A bachelor's degree is required.
  • A deep understanding of coding and billing, electronic medical record navigation, Oak Street Health clinical guidelines, morning huddle responsibilities, and clinical documentation review responsibilities is required.
  • U.S. work authorization is required.

Responsibilities

  • Drive clinical documentation review efficiency by reviewing patient charts and identifying relevant medical information in advance of the review.
  • Partner with the Population Health Director to facilitate backend care report processes and resolve items between clinical documentation reviews, including note amendments and order placement.
  • Lead the Daily Lookback process by reviewing previous documentation, identifying actions needed to align with clinical guidelines, and developing a strategy for completion.
  • Support care teams by reviewing patient information for new care teams, including new patients and previous patients under a different provider panel, and bringing forward accurate and specific historical information to close knowledge gaps.
  • Use data analytics and strategic thinking to identify key clinical documentation insights and drive high-impact clinical documentation initiatives.

Desired Qualifications

  • Leadership experience and/or a natural tendency to lead.
  • Comfort working with ambiguity and a strong interest in problem-solving.
  • Basic Excel knowledge and experience.

About the Company

CVS Health

Runs pharmacies, health plans and clinics

CVS Health runs pharmacies, health insurance plans and medical clinics for individuals, employers and government programs across the United States. Its businesses include CVS Pharmacy, the Aetna insurer and Caremark, which manages prescription coverage and negotiates drug prices for health plans. Patients fill prescriptions in stores or by mail and receive care through walk-in clinics, primary care centers and home visits. The company earns money from prescription sales, insurance premiums, plan administration fees and clinical services, combining coverage with places to obtain treatment. Its first store opened in 1963, and its headquarters are in Woonsocket, Rhode Island.

Company size
10,001+
Company stage
IPO
Headquarters
Woonsocket, Rhode Island
Founded
1963

Recently Posted Jobs

Explore more opportunities at CVS Health

See more jobs