Senior Clinical Strategist

CVS Health

. Establish trusting relationships with provider partners to promote open communication .

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

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in clinical performance improvement and case management, with a strong focus on provider collaboration and data interpretation to enhance healthcare outcomes. Proven ability to lead projects, manage complex deliverables, and foster relationships across multiple functions.

Highest-signal resume keywords

Registered Nurse LicenseCase Management ExperienceProject Management SkillsClinical ExperienceLeadership Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementClinical Performance ImprovementData InterpretationProject ManagementNegotiation Skills

Soft Skills

Strong Communication SkillsInterpersonal Skills

Tools & Technologies

Microsoft OutlookMicrosoft PowerPointMicrosoft ExcelSharePoint

Certifications & Qualifications

Registered Nurse License

Industry Keywords

Value Based CareStars PerformanceManaged CareHealthcare Collaboration

About the role

Key responsibilities & impact

Establish trusting relationships with provider partners to promote open communication
Lead clinical performance improvement projects for assigned Aetna Medicare Provider Collaboration groups
Manage multiple complex deliverables through implementation
Serve as clinical expert on opportunities related to case management, 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 stakeholders on using data for provider collaboration performance improvement
Strategize with internal and external subject matter experts and clinical teams to drive outcomes and improve efficiencies
Coordinate and conduct clinically focused meetings to identify opportunities, prioritize goals and interventions, 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% possible in support of Value Based Care groups
Work Monday–Friday, 8am–5pm; no nights, weekends, or holidays

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
Registered Nurse / Bachelor ‘s Degree preferred or equivalent experience
Must reside in WA, OR, ID, UT, WY, MT, NV, AZ, TX, NM, or OK

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