Senior Clinical Strategist

CVS Health Careers

. Work with assigned Aetna Medicare Provider Collaboration groups to drive improved performance .

Posted 11/10/2026full-timeRemote • United StatesSenior💰 $78,331 - $206,206 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical performance improvement, case management, and provider collaboration, with a strong focus on achieving optimal Stars performance and managing complex deliverables. Proven ability to lead initiatives, interpret data, and foster relationships with provider partners to drive outcomes in a value-based care environment.

Highest-signal resume keywords

Registered Nurse LicenseCase Management ExperienceClinical ExperienceProject Management SkillsNegotiation Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Clinical Performance ImprovementData InterpretationCare Gap ClosureQuality Improvement InitiativesPopulation Health Initiatives

Soft Skills

Strong Communication SkillsInterpersonal SkillsLeadership Skills

Tools & Technologies

Microsoft OutlookMicrosoft PowerPointMicrosoft ExcelSharePoint

Certifications & Qualifications

Active Registered Nurse License

Industry Keywords

Value Based CareStars PerformanceManaged CareClinical ExpertiseMatrixed Environment

About the role

Key responsibilities & impact

Work with assigned Aetna Medicare Provider Collaboration groups to drive improved performance
Lead clinical performance improvement projects
Manage multiple complex deliverables through implementation
Support population health initiatives primarily impacting Stars and quality, as well as utilization and cost
Establish trusting relationships with provider partners
Serve as clinical expert on opportunities related to CM, gap closure, workflow discussions, and collaboration with case management leadership and case managers
Serve as internal and external liaison and clinical resource
Interpret data and educate partners on using data for provider collaboration performance improvement
Strategize with internal and external SMEs and clinical teams to drive outcomes and improve efficiencies
Coordinate and conduct clinically focused meetings
Identify opportunities and prioritize goals and interventions to close care gaps and achieve optimal Stars performance
Collaborate across multiple functions and segments to obtain agreement from impacted parties
Collaborate with Engagement Managers, Local Market Team, Data Team, Medical Operations, and others on Stars and quality improvement initiatives
Travel up to 25% in support of Value Based Care groups

Requirements

What you’ll need

Registered Nurse with active and unrestricted license in the state the candidate resides
4+ years of case management experience
3+ years clinical experience
1+ year leadership or supervisory experience
4+ years of Outlook experience
4+ years of Microsoft Power Point experience
4+ years of Microsoft Excel experience
1+ years of SharePoint experience
Strong communication and interpersonal skills
Proven track record in meeting project milestones and negotiating for resources
Proven negotiation skills
Proven project management skills
Proven success while working in a matrixed environment
1+ year managed care experience
Creating accountability, developing and executing strategy and driving change
Reside in one of these states: WA, OR, ID, UT, WY, MT, NV, AZ, TX, NM, OK
Schedule availability Monday–Friday, 8am–5pm

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program in addition to base pay
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being, based on eligibility