Dedicated and Experienced OhioRISE Population Health Specialist – Driving Innovative Solutions for Youth with Complex Behavioral Health Conditions

Introduction to CVS Health and Our Mission

At CVS Health, we are driven by a singular purpose: to bring our heart to every moment of your health. This guiding principle underscores our commitment to delivering human-centric healthcare that is both personal and innovative. As a leader in the healthcare industry, we recognize the importance of transforming our culture and accelerating our ability to innovate and deliver solutions that make healthcare more accessible, convenient, and affordable. Our Heart At Work Behaviors support this purpose, empowering every team member to play a vital role in shaping our culture and driving innovation.

About the OhioRISE Population Health Specialist Role

The OhioRISE Population Health Specialist will be instrumental in supporting population-level improvements through the development, implementation, and management of value-added benefits programs. These programs are specifically designed to meet the unique needs of youth with complex behavioral health conditions, going above and beyond the standard Medicaid benefits package. This role offers a unique opportunity to make a significant impact on the lives of these individuals and their families, contributing to the overall mission of CVS Health.

Key Responsibilities

• Design and develop value-added benefits programs tailored to the specific needs of youth with behavioral health conditions within the OhioRISE managed care plan.
• Collaborate with internal teams, including clinical staff, behavioral health specialists, and care coordinators, to identify gaps in existing benefits and develop innovative solutions to address these gaps.
• Conduct research and analysis to identify evidence-based practices, interventions, and services that can be incorporated into the value-added benefits programs.
• Work closely with network providers, community organizations, and external stakeholders to establish partnerships and negotiate contracts for the delivery of value-added services.
• Monitor and evaluate the effectiveness of value-added benefits programs through data analysis, member feedback, and outcomes measurement to ensure continuous improvement and alignment with member needs.
• Stay up-to-date with the latest trends, research, and best practices in the field of behavioral health to inform the development and enhancement of value-added benefits.
• Collaborate with the Communication Director and outreach teams to effectively communicate the availability and benefits of value-added programs to members, providers, and other stakeholders.
• Ensure compliance with all relevant regulatory requirements and guidelines related to the OhioRISE Provider agreement.
• Collaborate with other Ohio Medicaid Managed Care Planes to support and inform value-added benefits strategies.
• Collaborate with the OhioRISE Flex Fund Administrator to identify Flex Fund utilization trends and determine if a VAB is available that can meet the identified need.
• Provide training and support to internal staff and network providers on the value-added benefits programs and how to effectively utilize and promote them.

Essential Qualifications

To be successful in this role, you will need:

• A Bachelor's degree in healthcare administration, public health, social work, or a related field.
• At least 2 years of experience in healthcare administration, managed care, or a related field, with a focus on behavioral health services for youth preferred.
• Excellent analytical and problem-solving skills, with the ability to gather and interpret data to inform decision-making.
• Proficiency in using data analysis tools and software applications.
• At least 1 year of project management experience, with the ability to prioritize tasks, manage multiple projects simultaneously, and meet deadlines.

Preferred Qualifications

While not required, the following qualifications are highly desirable:

• Strong knowledge and understanding of Medicaid managed care programs, regulations, and compliance requirements.
• Experience in developing and managing value-added benefits programs, preferably in a Medicaid or managed care setting.
• Familiarity with evidence-based practices, interventions, and services for youth with behavioral health needs.
• Knowledge of HIPAA regulations and confidentiality requirements.
• Exceptional communication and interpersonal skills, with the ability to collaborate effectively with a diverse range of stakeholders.

Career Growth Opportunities and Learning Benefits

At CVS Health, we are committed to the growth and development of our team members. As an OhioRISE Population Health Specialist, you will have access to a range of learning and development opportunities, including training programs, workshops, and conferences. You will also have the opportunity to work with a talented and dedicated team of professionals who are passionate about delivering exceptional healthcare services.

Work Environment and Company Culture

Our company culture is built on a foundation of respect, empathy, and inclusivity. We believe in creating a work environment that is supportive, collaborative, and empowering, where every team member feels valued and able to contribute their best work. As an OhioRISE Population Health Specialist, you will be part of a dynamic and innovative team that is shaping the future of healthcare.

Compensation, Perks, and Benefits

We offer a competitive salary range of $46,988.00 - $91,800.00, depending on experience and qualifications. In addition to your compensation, you will also be eligible for a range of benefits, including medical, dental, and vision coverage, a 401(k) retirement savings plan, and an Employee Stock Purchase Plan. You will also have access to numerous well-being programs, education assistance, and free development courses, as well as a CVS store discount and discount programs with participating partners.

Conclusion

If you are a dedicated and experienced healthcare professional looking to make a significant impact on the lives of youth with complex behavioral health conditions, we encourage you to apply for the OhioRISE Population Health Specialist role. This is a unique opportunity to join a talented and innovative team that is shaping the future of healthcare. With a competitive salary, comprehensive benefits, and a supportive work environment, this role offers the perfect blend of challenge and reward. Apply now and take the first step towards a rewarding new career.

Seize this opportunity to make a significant impact. Apply now and take the first step towards a rewarding new role.