Senior Clinical Strategist

CVS Health

. Work with assigned Aetna Medicare Provider Collaboration groups to improve clinical performance .

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, case management, and data interpretation to enhance provider collaboration and drive healthcare outcomes. Proven ability to lead initiatives, establish relationships, and collaborate across teams to achieve quality and utilization goals.

Highest-signal resume keywords

Registered Nurse (RN) LicenseCase Management ExperienceClinical ExperienceLeadership ExperienceData Interpretation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Performance ImprovementCase ManagementPopulation Health InitiativesGap ClosureWorkflow OptimizationQuality ImprovementUtilization ManagementProject ManagementData AnalysisClinical Education

Soft Skills

Relationship BuildingCollaborationCommunicationStrategic ThinkingStakeholder Engagement

Tools & Technologies

Microsoft OutlookMicrosoft PowerPointMicrosoft ExcelSharePoint

Certifications & Qualifications

Registered Nurse (RN) License

Industry Keywords

Aetna MedicareStars ProgramClinical ExpertiseCare GapsHealthcare Outcomes

About the role

Key responsibilities & impact

Work with assigned Aetna Medicare Provider Collaboration groups to improve clinical performance
Lead clinical performance improvement projects and manage complex deliverables through implementation
Support population health initiatives focused on Stars, quality, utilization, and cost
Establish trusting relationships with provider partners
Serve as clinical expert on case management, gap closure, and workflow opportunities
Partner with case manager supervisors, managers, and case managers
Act as an internal and external liaison and clinical resource
Interpret data and educate stakeholders on using data for provider collaboration performance improvement
Strategize with subject-matter experts and clinical teams to drive outcomes and improve efficiencies
Coordinate and conduct clinically focused meetings to identify opportunities, prioritize goals, and close care gaps
Collaborate across 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

Requirements

What you’ll need

Active and unrestricted Registered Nurse (RN) license in the state where the candidate resides
4+ years of case management experience
3+ years of clinical experience
1+ year of leadership or supervisory experience
4+ years of Outlook experience
4+ years of Microsoft PowerPoint experience
4+ years of Microsoft Excel experience
1+ year of SharePoint experience
Residence in the West Coast area, excluding California
Registered Nurse / Bachelor's degree preferred or equivalent experience
Ability to travel up to 25% may be required
Ability to work Monday–Friday, 8am–5pm

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