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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.

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

This is a customer-facing role with up to 50% travel to meet with customers and review plan performance, discuss recommendations, etc.

This is a hybrid position with 3 days in office 2 days work from home if near an office.

Preference for candidates living near (within 2 hours of) a major airport.

CPCs are key members of the business focused on providing insights and solutions based on analytics to customers in the group commercial business. The work environment supports and thrives on creative talent, and a consultative approach. Our team consists of physicians, nurses, clinical social workers, well-being, and analytic consultants. Our support is highly valued by our internal partners as well as the customers we serve.

Required Qualifications

• 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

Preferred Qualifications

• 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)

Education

BSN degree or equivalent experience

Pay Range

The typical pay range for this role is:

$66,330.00 - $145,860.00

This 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. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 01/18/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.