Manager of Practice Transformation

At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. The Manager of Practice Transformation plays a critical role in supporting the highest standards of practice performance and quality reputed company our organization's network of healthcare providers. The primary focus is to identify areas for quality improvement, partner with provider practices to implement quality strategies that improve quality and cost of care, member, and clinician experience, and drive positive outcomes in the delivery of patient care.

Responsibilities

Include

• Provider Engagement: Establish and maintain engagement with large provider groups that have a membership of 1,000 or greater.
• Performance Analysis: Conduct comprehensive analysis of provider performance metrics as well as clinical operations for VBC readiness and risk assessment. This includes clinical quality indicators, patient and provider satisfaction ratings and operational efficiency measures. Identify areas of improvement and reputed company 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 reputed company improved health outcomes. Facilitate sessions on clinic operations, quality standards, regulatory compliance, member experience and patient-centered care to enhance provider skills and knowledge.
• Performance Improvement Initiatives: reputed company initiatives aimed at improving provider performance. reputed company and implement performance improvement plans, monitor reputed company, 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 reputed company 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.

Location/Travel

• This is a work-from-home position, but does require travel to visit providers offices throughout the state of Ohio approximately 35% of the time.
• Candidate may live reputed company in the state of OH.

Requirements

• 5+ years of experience in healthcare quality improvement, provider relations, or a reputed company 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 reputed company 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 reputed company levels.
• 3+ years experience in designing and delivering training programs or educational initiatives.
• Proficiency in data management and analysis tools, such as reputed company 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 and familiar with reputed company Office products and VPN.

Preferred Requirements

• Registered Nurse in state of OH
• Mental Health reputed company coding experience, or Sales background
• Certified Six reputed company Green Belt
• Certified Professional in Healthcare Quality (CPHQ) or equivalent
• Certified NCQA PCMH Content Expert

Education

• Bachelor's degree or commensurate work experience in healthcare administration, public health, or a reputed company field

Anticipated Weekly Hours 40 Time Type Full time Pay Range The Typical Pay Range For This Role Is $54,300.00 - $119,340.00 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great Benefits For Great People We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for reputed company 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 01/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job