Senior Manager - Business Consultant

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

Excellent opportunity for an experienced clinician with a passion for consulting and improving overall population health to leverage clinical, analytic, and consultative skills to join our team of Clinical Program Consultants (CPCs) who offer clinical insights and solutions to help improve health plan performance for our group commercial plan sponsors.

Highly collaborative, strong individual contributor position in a professional environment working with the co-branded solutions team, for this dedicated customer, Aetna's clinical operation teams and our Plan Sponsor Insights team of consultants. 

The components of the role include:

• Provide clinical consultation based on analysis and identification of key drivers of results e.g., use data to identify clinical trends. Aligns clinical programs with customer strategy, evaluates performance results, monitors engagement, and proactively identifies opportunities for improvement.
• Recommend clinical programs, services and plan design changes that align with the customer's population health strategy and help drive short- and long-term results e.g., assisting with development of health strategies, tactics, policies, and programs (which could include network management, clinical coverage, care management, and compliance policies for data and information) that improve overall population health and encourage efficient and effective delivery of benefits.
• Perform independent development and presentation of clinical content with recommendations in customer-facing meetings e.g., present findings and recommended actions to help improve performance and clinical outcomes, working collaboratively to help track and resolve issues.
• Research and evaluate programs and processes to identify savings and efficiency opportunities that may result in policy and procedure changes that impact the customer and the enterprise
• Act as a trusted clinical resource providing clinical program guidance
• Collaborate across the enterprise and with clinical operations to optimize collaboration, efficiency, and impact
• Provide input to the design of clinical solutions and workflows leveraging knowledge of workflow, policy, and procedures to help ensure teams can work collaboratively
• Stay current on, and share knowledge of population health trends
• Provide coaching, direction, feedback, and support of other matrixed team members including external vendors to drive integrated value for the plan sponsor
• This is a customer-facing role with the potential for travel to meet with customers and review plan performance, discuss recommendations, etc., as determined by the customer.

Clinical Program Consultants are key members of Aetna’s business focused on providing insights and solutions based on analytics to customers in the group commercial business. The work environment supports and thrives on the ability to create and present reports to diverse audiences and manage multiple deadlines in a fast-paced environment. We encourage an out-of-the box mindset, creative talent, and a consultative approach. Our team is highly valued by our internal partners as well as the customers we serve. 

Location: One may live anywhere in the United states, but must be willing to work Eastern Time Zone hours

Required Qualifications

• 7+ years experience (may be a combination of different sites of care practice including: hospital, clinic, and/or community health) with a strong understanding of clinical decision support platforms (e.g., ATV, MedCompass, NovaLogic), EMR, and other technologies and data sources used within a healthcare delivery system
• Experience with enterprise-wide and/or cross-functional large-scale initiatives with high degree of complexity.
• 7+ years of experience in, and knowledge of, the healthcare industry and market.
• 5+ years of Healthcare Consultation Experience working with External Constituents
• Strong clinical analytic skills and demonstrated conceptual thinking
• 5+ years leadership experience
• 3+ years of utilizing Excel and other reporting mechanisms to support analysis.
• Ability to travel to visit customers 6-8 times/year

Preferred Qualifications

• Registered Nurse with unrestrictic