CVS Health Job - 37002516 | CareerArc
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Company: CVS Health
Location: Kenner, LA
Career Level: Associate
Industries: Retail, Wholesale, Apparel

Description

Job Description
Accountable for designing provider claims education models, provider education initiative planning, staff education, tracking business results and ongoing client relationship management and driving provider satisfaction Responsible for providing guidance and direction to external medical providers, consulting with team members and/or matrixed staff as required in support of initiatives. Accountable for transferring knowledge, best practices (external and internal), methodology and tools to client organizations. May be responsible for concurrent initiatives as team lead and/or team member, based on resource requirements. Position Summary: Drives or guides development of holistic solutions and/or key strategic plans for provider education. Proactively identifies opportunities for improvement and independently influences business leader(s) to act or change behavior through continuous quality improvement Develops, organizes and schedules external provider educational opportunities as well as drives internal staff education to ensure that providers are fully educated on health plan and Louisiana Department of Health claims processes and policies. Shares joint accountability for initiative's return on investment Provides continuous coaching, direction, feedback and development for other team members, matrixed staff and/or external providers as required. Designs, develops interventions and facilitates work sessions both internally with staff and externally with providers. Develops and delivers all required analysis, reporting and presentation materials Gathers, analyzes and synthesizes business intelligence to drive achievement of strategic business objectives Facilitates diverse internal and external networks, as appropriate, for data gathering and best practice identification Leverages internal and external networking to drive optimal initiative results and knowledge/best practice transfer.

Experience desired. -5-7 years' experience in healthcare with several of the following methodologies: Physician office billing, Medicaid or other Government business, medical claims research or processing project consulting, business process consulting, small and large group presentations, strategic business planning, and/or risk management consulting. Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously. Certified coder a plus. Demonstrated leadership with relevant initiatives: Business process, enterprise business project management/consulting, financial strategic planning and analysis, and risk management. Demonstrated superior business process, project management experience. Demonstrated experience successfully implementing change in complex organizations. Experience with enterprise-wide and/or cross-functional large scale initiatives with high degree of complexity. Location: *Must be based in Louisiana

Required Qualifications
Experience desired. -5-7 years' experience in healthcare with several of the following methodologies: Physician office billing, Medicaid or other Government business, medical claims research or processing project consulting, business process consulting, small and large group presentations, strategic business planning, and/or risk management consulting. Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously. Certified coder a plus. Demonstrated leadership with relevant initiatives: Business process, enterprise business project management/consulting, financial strategic planning and analysis, and risk management. Demonstrated superior business process, project management experience. Demonstrated experience successfully implementing change in complex organizations. Experience with enterprise-wide and/or cross-functional large scale initiatives with high degree of complexity. Location: *Must be based in Louisiana

Preferred Qualifications
Please review required qualifications above

Education
Bachelor's degree or equivalent experience

Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.


We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.


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