Quality Management Nurse Consultant

CVS Health

Quality Management Nurse Consultant managing compliance and quality for CVS Health. Collaborating across departments to meet regulatory requirements and business objectives.

Posted 7/21/2026full-timeRemote • Pennsylvania • 🇺🇸 United StatesMid-LevelSenior💰 $60,522 - $129,615 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in quality management within healthcare, leveraging strong project management skills and a thorough understanding of NCQA standards to ensure compliance and enhance performance. Proficient in utilizing collaboration tools and data analysis to drive organizational objectives.

Highest-signal resume keywords

Licensed Registered Nurse (RN)Quality Management Care ExperienceNCQA Standards KnowledgeProject Management CertificationCPHQ Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality ManagementData AnalysisProject ManagementRegulatory ComplianceAttention to Detail

Soft Skills

Communication SkillsProblem SolvingCollaborationTime ManagementAdaptability

Tools & Technologies

Microsoft 365Cloud-Based Document ManagementVirtual Communication ToolsProject Platforms

Certifications & Qualifications

Project Management CertificationCPHQ Certification

Industry Keywords

HealthcareQuality Management ProgramState Regulatory ComplianceMotivational Interviewing

Tech Stack

Tools & technologies

Cloud

About the role

Key responsibilities & impact

Plans, monitors, and manages internal projects from initiation through timely completion to meet business objectives and increase performance
Works with internal staff across multiple departments to identify data sources, processes and activities required to meet state regulatory compliance requirements or meet the objectives of the Quality Management (QM) program
Using innovation, integration and information, links the quality management activities to business goals

Requirements

What you’ll need

Licensed Registered Nurse (RN) with an unrestricted license
Minimum of 3 years of quality management care experience
Strong knowledge of NCQA standards and requirements
Exceptional verbal/written/presentation communication skills
Demonstrated ability to plan, organize, and execute multiple projects with overlapping deliverables
Proficient in workplace applications and collaboration tools (e.g., Microsoft 365, cloud-based document management, virtual communication/collaboration, and project platforms) with the ability to leverage tools to optimize work processes
Attention to detail, accuracy and overall quality of reports
Adept at problem solving and decision-making skills
Strong collaboration and teamwork skills
Adaptability and Time Management skills including, but not limited to: Strong organizational skills
Motivational interviewing skills and positive attitude
Self-motivated and leadership qualities
Project Management Certification
CPHQ Certification
Ability to analyze and manage large amounts of data
Associates or diploma nursing degree required
Bachelor of Science in Nursing preferred

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
comprehensive benefits package designed to support the physical, emotional, and financial well-being