Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Hybrid requirement- willingness to work at Aetna office 3 days a week. Potential for minimal future travel.

Monday-Friday 8-5 EST or CST.

Position Summary

The Sr. Clinical Strategist will support all markets, covering all products, acting as a key partner for subject matter expertise on clinical contractual and regulatory requirements. The Sr. Clinical Strategist will support the coordination and preparation for internal and external audits , partnering closely with compliance to reduce risk to the organization. The Strategist will be responsible for engaging with the clinical and informatics teams to coordinate and interpret requirements into data with system experts, perform user acceptance testing, and data validation. The Sr. Clinical Strategist will design and implement the readiness/preparation supports, manage data validation for key internal and external reporting, support ongoing development and maintenance of performance dashboards and internal reporting development partnering with informatics, provide subject matter expertise and project management support for large scale remediation projects, partner with central compliance leads for escalations and large-scale risks. Required Qualifications

• Active and good standing RN license in state of residence

• Minimum 3 years clinical compliance experience in a managed care setting

• Minimum 3 years clinical reporting and data analytics experience

• Minimum 3 years clinical operations and performance improvement experience

• Minimum 3 years of experience using Excel and Visio

Preferred Qualifications

• Six Sigma Certification

• Ability to read/write SQL coding

• Prior external clinical audit participation

Education

• Associates degree minimum

• Preferred Bachelor's Degree in relevant field

Pay Range

The typical pay range for this role is:

$87,035.00 - $187,500.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 06/10/2024

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.