Practice Transformation Advisor - Behavioral Health

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About the role

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, 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. Must reside in Louisiana for this role. The Behavioral Health PTA serves as the primary provider-facing resource responsible for partnering with behavioral health providers, community mental health centers, health systems, and integrated delivery organizations to improve quality performance and adoption of best practices. In addition to traditional practice transformation responsibilities, this role supports the expansion of behavioral health data exchange capabilities, including increased utilization of ADT feeds, clinical data sharing, supplemental data acquisition, and improved reporting workflows that enable more timely member intervention and performance monitoring. Strategic Value The position will: • Drive improvement in behavioral health quality measures. • Support provider adoption of evidence-based behavioral health workflows. • Strengthen provider accountability for quality performance. • Improve transition-of-care management between inpatient, ED, and outpatient settings. • Serve as the provider-facing liaison for behavioral health performance initiatives. • Support implementation and optimization of ADT feed participation with behavioral health and hospital providers. • Improve access to timely clinical information needed for intervention and follow-up activities. • Advance interoperability and data-sharing capabilities across the behavioral health provider network. Expected Outcomes • Improved Follow-Up After Hospitalization for Mental Illness (FUH). • Improved Follow-Up After Emergency Department Visit for Mental Illness and Substance Use Disorder (FUM/FUA). • Increased provider participation in data exchange initiatives. • Improved access to real-time admission, discharge, and transfer notifications. • Enhanced provider engagement and practice adoption of quality improvement strategies. • Better identification and intervention for high-risk members. Requirements: ▪ 5-7 years of experience in healthcare quality improvement, provider relations, or a related role. ▪ In-depth knowledge of HEDIS, healthcare regulations, clinical operations, quality standards, and performance metrics. ▪ Licensed Allied Health Professional or Licensed Registered Nurse or LPN ▪ Strong analytical and problem-solving skills, with the ability to interpret complex 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 all levels. ▪ Proven experience in 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. ▪ Position is remote – secure home network required and familiar with Microsoft Office products and VPN. Must being willing to travel to provider sites as needed. This is rare but required if requested. Preferred: ▪ Coding or Provider facing, Clinical experience, or Provider Practice experience ▪ Certified Six Sigma Green Belt ▪ Certi

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