Practice Transformation Manager
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Job Description
Practice Transformation Manager improving provider quality, operations, and value-based care performance at CVS Health. Analyzing healthcare data and leading transformation initiatives with provider practices.
Responsibilities:
- 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:
- 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:
- 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
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