CVS Health · 2 weeks ago
Manager, Practice Transformation
United States
Full-time
Remote
Mid, Senior Level
$60K/yr - $133K/yr
5+ years expCVS Health is the nation’s leading health solutions company, dedicated to transforming health care for millions of Americans. The Manager, Practice Transformation plays a critical role in supporting practice performance and quality within the Integrated Duals network, focusing on quality improvement and enhancing patient care delivery.
Health CareMedicalPharmaceuticalRetailSales
Responsibilities
Provider Engagement Strategy and Execution: Using multiple data sources, reporting and analyses to identify key provider groups/partners to engage with/drive provider performance to assist the Integrated Duals plans with achieving internal, external and regulatory performance goals. Develop and execute annual provider engagement strategy by leading team of supporting Practice Transformation resources. This will include:
Performance Analysis: Conduct comprehensive analysis of provider performance metrics which may include evaluation of clinical operations for VBC readiness and risk assessment. Performance analysis includes clinical quality indicators, patient and provider satisfaction ratings and operational efficiency measures. Identify areas of improvement and develop data-driven strategies to improve provider performance and financial rewards
Provider Education and Practice Transformation: Collaborate with cross-functional teams to assess practice operations against industry best practices in primary care. Design and deliver training programs, workshops, and educational materials for primary care and specialty providers and their staff in key operational domains to achieve improved health outcomes. Conduct focused engagement sessions on key areas which may include: clinic operations, quality standards, regulatory compliance, member experience and patient-centered care to enhance provider skills and knowledge
Performance Improvement Initiatives: Lead initiatives aimed at improving provider performance. Develop and implement performance improvement plans, monitor progress, and evaluate the effectiveness of interventions in collaboration with practice partners
Quality Assurance: Conduct regular audits, reviews, and assessments of provider practices, documentation, and compliance. Provide feedback and recommendations for improvement
Stakeholder Collaboration: Collaborate closely with internal teams, including clinical and operational leadership, value-based care, quality management teams and provider relations teams to align provider performance objectives with organizational goals. Foster effective working relationships with providers, offering guidance, feedback, and support to facilitate their success
Data Management and Reporting: Utilize data management systems and analytics tools to collect, analyze, and report provider performance data. Prepare comprehensive reports, dashboards, and presentations for senior leadership, highlighting key performance indicators, trends, and improvement opportunities
Industry Knowledge and Research: Stay abreast of industry trends, best practices, and regulatory changes related to provider performance and healthcare quality. Support population health and health equity initiatives to improve care gap closure rates and health outcomes. Conduct research and benchmarking activities to identify innovative approaches and opportunities for improvement
Qualification
Required
5-7 years of experience in healthcare quality improvement, provider relations, or a related role
In-depth knowledge of healthcare regulations, clinical operations, quality standards, and performance metrics
Strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify improvement opportunities
Excellent communication, presentation and interpersonal skills to collaborate with and effectively influence provider groups and executives, team members, and stakeholders at all levels
Proven experience in 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
Position is remote – secure home network required and familiar with Microsoft Office products and VPN
Bachelor's degree or commensurate work experience in healthcare administration, public health, or a related field
Preferred
Prior people leader experience – 1-3 years
Licensed Allied Health Professional, or Licensed Registered Nurse
Coding or Sales background
Certified Six Sigma Green Belt
Certified Professional in Healthcare Quality (CPHQ) or equivalent
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
David Joyner
President and Chief Executive Officer, CVS Health
Chandra McMahon
SVP & CISO
Recent News
The Journal Record
2026-01-23
2026-01-23
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