Senior Manager, Health Care Quality
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Nevada • United States
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Salary
💰 $75,400 - $165,954 per year
Job Level
About the role
- Support the functions of the Fully and Highly Integrated Duals Eligible (FIDE/HIDE) quality program
- Handle regulatory deliverables, HEDIS activities and reporting
- Facilitate daily quality improvement (QI) functions
- Coordinate and monitor quality improvement and organizational projects from inception to closure
- Manage the annual quality program trilogy documents (program description, workplan, program evaluation)
- Ensure all quality policies are updated annually and in compliance with state contract
- Collaborate with stakeholders to implement innovative programs and initiatives
- Analyze data, develop reports and present to plan committees
- Manage data review process to ensure accuracy and integrity of data reports
- Implement interventions to increase HEDIS, CAHPS, and quality improvement projects
- Adhere to NCQA standards and maintain NCQA accreditation
- Support corporate compliance and external surveys
- Participate in project life cycle including requirements gathering and project execution
- Coordinate all data pulls and ongoing data management
Requirements
- 7+ years of experience in healthcare quality, quality improvement, and performance measurement
- Proficiency in Microsoft Office Suite
- Demonstrated ability to analyze and interpret complex data sets and convert findings into actionable insights
- Excellent time management, planning and organizational skills
- Strong written and verbal communication skills
- Ability to work independently and collaboratively in a fast-paced environment
- Experience presenting to leaders and/or leadership teams (preferred)
- Experience with Medicare Stars, HEDIS, or NCQA reporting (preferred)
- Reside in the state of Nevada
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
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
HEDISCAHPSdata analysisquality improvementperformance measurementregulatory deliverablesdata managementproject managementreportingNCQA standards
Soft Skills
time managementplanningorganizational skillswritten communicationverbal communicationcollaborationindependencepresentation skills