[Hiring] Population Health Specialist @CVS Health

Role Description

As part of the bold vision to deliver the “Next Generation” of managed care in Ohio Medicaid, Ohio RISE will help struggling children and their families by focusing on the individual with strong coordination and partnership among MCOs, vendors, and ODM to support specialization in addressing critical needs. The OhioRISE Program is designed to provide comprehensive and highly coordinated behavioral health services for children with serious/complex behavioral health needs involved in, or at risk for involvement in, multiple child-serving systems.

The Population Health Specialist (PHS) leads initiatives to advance health outcomes and reduce disparities for the OhioRISE population. This role applies quality improvement science to lead efforts improving health outcomes for OhioRISE members by identifying disparities and implementing targeted interventions.

• Analyzes population health data to uncover trends, gaps in care, and opportunities for system-level improvement.
• Designs and executes quality improvement projects to address identified needs by collaborating with diverse stakeholders.
• Monitors, evaluates, and reports on the effectiveness of population health interventions to ensure measurable impact.
• Serves as a quality improvement methodology subject matter expert within the OhioRISE program.

This is a full time telework position with occasional travel required (within Ohio) as determined by business need - residing in Ohio is strongly preferred.

Qualifications

• 1+ year(s) experience in population health or quality improvement role
• 3+ years’ experience in health care or public health with a preferred focus on quality improvement, population health, care management, social work, or behavioral health

Requirements

• Experience with Improvement methodologies (Six Sigma, Lean, IHI Model)
• Proficient in Microsoft Word, Excel, and PowerPoint
• Embraces change and remains flexible when faced with evolving priorities or ambiguous situations
• Strong analytical, communication, and project management skills
• Self-motivated and demonstrated ability to work independently
• Ability to build collaborative relationships with internal and external stakeholders
• Experience working with Medicaid populations
• Residing in Ohio

Education

• Bachelor’s Degree in public health, health administration, social work, or a related field, or equivalent work experience (REQUIRED)

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