Description

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.

This is a Field based role requiring 50% travel with in the state of Florida.

The Practice Transformation Associate builds positive relationships between Aetna Better Health (ABH) and its high-volume providers to facilitate high quality care for members. The Liaison achieves this goal through analyzing and sharing provider performance metrics related to quality, clinical outcomes, coding, and utilization used to support ABH programs. They will be a liaison between ABH providers and in select markets will be a part of a model consisting of an internal, cross-functional team of clinical, analytics, provider relations and medical personnel. The PTA will work both internally and externally with some travel time in the field to assigned provider offices.

Required Qualifications

• Bachelor's degree in healthcare or related discipline or three years of relevant work experience or
• Three years' experience in practice management or an administrative leadership role in primary care setting or
• Three years' experience in managed care with a focus on HEDIS and Quality with experience facilitating and leading meetings with provider offices and proven track record of improving performance with your market
• Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding, Medicaid risk adjustment methodology, and common billing and common billing practices
• Demonstrated understanding of Medicaid industry standards and NCQA requirements
• Proficient in Microsoft Office tools
• Strong analytical skills regarding HEDIS metrics and quality reporting
• Articulate and professional communication skills, both verbally and written
• An ability to travel (up to three days a week) across the assigned territory for in-person provider support
• Valid driver's license in good standing and access to a reliable vehicle required with insurance.
• Demonstrated experience in leading significant cross-functional work that includes business owners, executive leadership, and peers across the organization

Preferred Qualifications

• RHI, RHIT, CRC, or CPC certified Coder or auditor (CMAS) or
• RN or LPN or LISW or
• Three years' experience in managed care with a focus on HEDIS and Quality
• Ability to manage relationships with an emphasis on internal and external mid-level relationships
• Ability to work across all levels of the organization, including working with executive audiences, vendors, and government as a customer
• Demonstrated ability to project manage and implement strategies to improve performance

Education

• Bachelor's degree in healthcare or related discipline or three years of relevant work experience or
• Three years' experience in practice management or an administrative leadership role in primary care setting

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 base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 09/11/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.