We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Requirements
- Analyze policy/procedure/workflows on case management and utilization management for care redesign
- Analyze Total Cost of Care, Stars, Risk Adjustment, etc. data for opportunities and propose Strategic Action Items and other initiatives to improve outcomes
- Work collaboratively with Medical Economics Unit, Analytics and Behavioral Change, Aetna Clinical Services and Medical Affairs' other departments to improve Medicare business operations and clinical program execution
- Develop and improve Medicare reporting, such as, in Tableau
- Lead and implement informatics communication efforts
- Strong collaborative relationship with care management teams
- Active participation in meetings and communications, including team meetings, leadership meetings, at the health plan local, state, regional or national levels
Benefits
- Comprehensive benefits package
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
