Practice Transformation Manager

CVS Health

. Establish and maintain engagement with large provider groups with membership of 1,000 or greater .

Posted 10/12/2026full-timeRemote • Virginia • United StatesMid-LevelSenior💰 $54,300 - $145,860 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare quality improvement, provider relations, and value-based care, with a strong focus on data analysis and performance metrics. Capable of designing and delivering effective training programs while ensuring compliance with healthcare regulations and best practices.

Highest-signal resume keywords

Healthcare Quality ImprovementProvider RelationsData Management and AnalysisTraining Program DevelopmentRegulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisPerformance MetricsQuality StandardsClinical OperationsValue-Based CarePopulation HealthBenchmarkingAudit and AssessmentProject ManagementRisk Assessment

Soft Skills

Analytical SkillsProblem-Solving SkillsCommunication SkillsInterpersonal SkillsOrganizational Skills

Tools & Technologies

Data Management SystemsAnalytics ToolsExcelData Visualization SoftwareElectronic Health Record SystemsMicrosoft OfficeVPN

Certifications & Qualifications

Licensed Allied Health ProfessionalLicensed Registered NurseCertified Six Sigma Green BeltCPHQCertified NCQA PCMH Content Expert

Industry Keywords

Healthcare RegulationsPrimary CarePatient-Centered CareQuality Improvement InitiativesHealth EquityCare Gap ClosureProvider Performance ImprovementClinical Operations Best PracticesMember ExperiencePractice Management

About the role

Key responsibilities & impact

Establish and maintain engagement with large provider groups with membership of 1,000 or greater
Analyze provider performance metrics and clinical operations for value-based care readiness and risk assessment
Identify improvement areas and develop data-driven strategies to improve provider performance and financial rewards
Assess practice operations against primary care industry best practices
Design and deliver training programs, workshops, and educational materials for primary care and specialty providers and staff
Facilitate sessions on clinic operations, quality standards, regulatory compliance, member experience, and patient-centered care
Lead provider performance improvement initiatives and implement performance improvement plans
Monitor progress and evaluate intervention effectiveness with practice partners
Conduct audits, reviews, and assessments of provider practices, documentation, and compliance
Collaborate with clinical, operational leadership, value-based care, quality management, and provider relations teams
Utilize data management systems and analytics tools to collect, analyze, and report provider performance data
Prepare reports, dashboards, and presentations for senior leadership
Monitor industry trends, best practices, and regulatory changes
Support population health and health equity initiatives, care gap closure, and health outcomes
Conduct research and benchmarking to identify innovative improvement opportunities

Requirements

What you’ll need

5-7 years of experience in healthcare quality improvement, provider relations, practice management, value-based care, population health, nursing, or a related role
In-depth knowledge of healthcare regulations, clinical operations, quality standards, and performance metrics
Strong analytical and problem-solving skills
Excellent communication, presentation and interpersonal skills
Proven experience designing and delivering training programs or educational initiatives
Proficiency in data management and analysis tools, such as Excel or data visualization software
Familiarity with electronic health record systems and healthcare information technology
Detail-oriented, organized, and able to manage multiple projects simultaneously
Ability to work independently, demonstrate initiative, and drive results in a fast-paced environment
Secure home network required
Familiarity with Microsoft Office products and VPN
Bachelor's degree or commensurate work experience in healthcare administration, public health, or a related field
Licensed Allied Health Professional, Licensed Registered Nurse, Coding or Sales background, Certified Six Sigma Green Belt, CPHQ or equivalent, and Certified NCQA PCMH Content Expert are preferred

Benefits

Comp & perks

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