MCVC Pod 2 Regional Quality Lead

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.

This is a full-time, 40 hour/week position. Ideal candidate can reside anywhere in the country.

In this position as a Regional Quality Lead, you will be serving as a clinical expert and resource for clinical quality initiatives in the region. You will also be responsible for, but not limited to, the following responsibilities:  

• Serving as a clinical expert and resource in the region for clinical quality initiatives.  

• Conducts clinical quality reviews for region consistent with organizational policies and procedures.  

• Presents findings of clinical quality reviews to appropriate stakeholders.  

• Supports regional level chart reviews for new hire and incumbent providers in support of quality documentation.  

• Serves as a subject matter expert on clinical excellence and quality documentation.  

• Establishes and maintains strong virtual relationships with regional providers and leadership.  

• Delivering coaching results consistent with company goals and priorities.  

• Partners with Senior Practice Manager to provide clinical feedback to individual providers as needed.   

• Reviews and understands all clinical quality measures and initiatives; identifies strategies and implements timely and effective action plans to always support regional clinical excellence.  

• Provides feedback on clinical quality improvement issues and opportunities to SPM (Senior Practice Manager).  

• Communicates regarding clinical quality initiatives on Team Huddles.  

• Completes skills check offs for the provisioning process.  

• Expected to shadow in clinics within regions at least 2 shifts per month to strategically identify opportunities for clinical and operational process improvement.   

• This position will be a 40-hour, exempt-hourly position. Administrative time will be dedicated each week to completing the above duties, with the remainder of the working time seeing patients as a provider.  

• Accountable clinical quality monitoring and oversight at the regional level 

• Chart Review  

• Clinical Quality Review  

• Clinical Quality Support Plan implementation  

• Implements, evaluates, and provides ongoing continuous quality improvement support for best-in-class peer to peer coaching  

• Leads clinical quality initiatives in support of regional clinical excellence 

• Works in partnership with internal operations and other stakeholders to facilitate effective communication with field teams.  

• Monitors clinical quality and safety data to identify training and knowledge needs and assess effectiveness of the organizational training and education programs. (Example: Review clinic quality data, chart reviews, field observations, provider feedback, manager input).