Health Care Quality Management Specialist (Remote-Must Reside in FL)

Summary

CVS Health is a health care company focused on providing connected, convenient, and compassionate health experiences. The Health Care Quality Management Specialist implements quality management strategies, supports accreditation and contract requirements, analyzes quality data, and contributes to quality improvement projects and committee reporting.

Responsibilities

• Support accreditation minimally for health plan, health outcomes, and long term supports and services
• Support quality contract requirements, including performance improvement projects, analysis of quality improvement activities, and quality program evaluation
• Assists in the development and implementation of Quality Management projects and activities
• Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the department
• Support quality committees execution and reporting to quality committees
• Performs quantitative and qualitative data analysis to achieve operational targets
• Prepares Quality Management documents that adhere to the interpretation and application of business requirements

Skills

• Must reside in Florida or be willing to relocate to Florida within 3 to 4 months of the start date. Relocation assistance is not provided
• Minimum 3 years experience in managed care quality and/or provider quality
• Experience leading or supporting performance improvement projects (PIPs) and/or NCQA accreditation
• Must be proficient in all Microsoft office Suite, especially Microsoft Excel and PowerPoint
• Must be analytical and able to interpret data
• Must be articulate and able to communicate to multiple internal and external stakeholders
• Bachelor's degree or equivalent work experience in managed care quality
• Performance Improvement Projects (PIPs) experience
• NCQA accreditation experience

Qualifications

Must Haves

• Must reside in Florida or be willing to relocate to Florida within 3 to 4 months of the start date. Relocation assistance is not provided
• Minimum 3 years experience in managed care quality and/or provider quality
• Experience leading or supporting performance improvement projects (PIPs) and/or NCQA accreditation
• Must be proficient in all Microsoft office Suite, especially Microsoft Excel and PowerPoint
• Must be analytical and able to interpret data
• Must be articulate and able to communicate to multiple internal and external stakeholders
• Bachelor's degree or equivalent work experience in managed care quality

Nice to Haves

• Performance Improvement Projects (PIPs) experience
• NCQA accreditation experience

Benefits

• Remote work arrangement
• CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above
• Medical coverage, based on eligibility
• Dental coverage, based on eligibility
• Vision coverage, based on eligibility
• Paid time off, based on eligibility
• Retirement savings options, based on eligibility
• Wellness programs, based on eligibility
• Other resources supporting the physical, emotional, and financial well-being of colleagues and their families, based on eligibility