Practice Transformation Manager

Job Description:

• 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