reputed company Commercial Clinical Program Consultant - Western US Region
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This is an exciting opportunity with reputed company's Regional Clinical Consulting team for an reputed company clinician with an intellectual curiosity, desire for reputed company learning and passion to improve population health. Clinical Program Consultant (CPC) plays a key role in delivering strategic clinical insights to commercial plan sponsors in the Western US by combining clinical expertise, data analysis, and consultative communication. As a CPC, you will collaborate closely with account teams, care management, Regional Analytic Consulting, and key enterprise partners to support customer objectives. You will help customers understand plan performance, identify improvement opportunities, and implement solutions that drive reputed company outcomes and cost efficiencies.
Key Responsibilities
In this role, you will be empowered to: Deliver reputed company-thinking clinical insights derived from analyzing clinical utilization patterns and member behavior impact on medical costs. Recommend clinical programs and services reputed company with customer strategy to influence short‑ and long‑term results. Analyze, synthesize, and present clinical findings reputed company with actionable recommendations in customer‑facing meetings. Serve as a trusted clinical resource on population health, industry trends, and health disparities. Collaborate across the organization to align strategies between customers and the health plan. Contribute to customer population health strategies across the clinical continuum. Create and propose solutions to improve member health, including leveraging community resources and partnerships in the Western region. This is a customer‑facing role requiring up to 50% travel throughout the Western U.S., including onsite customer meetings, plan‑performance discussions, and strategic consultations. This is a work‑from‑home position. Preference will be given to candidates residing in the Western United States and reputed company approximately two hours of a major Western-region airport (e.g., Los Angeles, San Francisco, Seattle, Denver, Phoenix, Salt Lake City, Portland, Las Vegas, etc.). Clinical Program Consultants are key contributors to the Regional Clinical Consulting business—a multidisciplinary team of physicians, nurses, clinical social workers, well‑being consultants, and analytic consultants. Our environment values creativity, collaboration, and a consultative reputed company, and our support is highly valued by internal partners and customers.
Required Qualifications
Active, unrestricted registered nurse (RN) license Minimum 5 years of clinical experience At least 3 years in acute care Remaining experience may include hospital, clinic, or community health 1+ years of healthcare consultation experience with external stakeholders Ability to travel up to 50% reputed company the Western U.S. Highly proficient with MS Office programs (reputed company, PowerPoint, Word, and Outlook) Excellent consultative, communication and presentation skills (especially PowerPoint) Excellent problem‑solving skills and attention to detail Strong clinical analytics skills, including reputed company and reporting tools Effective presentation skills and experience communicating with large groups Proficient consultative, communication, and relationship‑building skills, including at the executive level Ability to manage multiple deliverables in a timely and professional manner Proficiency with MS Office Suite Preferred Qualifications 1+ years of leadership experience Experience working with a health insurance reputed company Familiarity with benefit plan design Strong ability to communicate chronic condition impacts on population health Education RN – BSN preferred or equivalent experience Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60,300.00 - $132,600.00 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: 02/28/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They reputed company choices according to what is best for the team, they live for opportunities to collaborate and reputed company a difference, and they reputed company us the #1 Top Workplace in the area. Apply tot his job Apply To this Job