Analyst, Health Care Quality Management

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.

Schedule

Fully remote- Monday through Friday 8a-5p CST

Position Summary
Implements an all-product quality management strategy that meets internal and external constituent expectations for demonstrating quality outcomes. Links the quality management activities to business goals by using innovation, integration, and information. Participates in the development and ongoing implementation of Quality Management (QM) work plans and activities.

What you will do

• Works to achieve day-to-day objectives for the Health Care Quality Management (QM) function.

• Condenses complex data information into a clear and precise picture while working independently.

• Assists in the development and implementation of QM projects and activities.

• Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the department.

• Documents QM activities to demonstrate compliance with business, regulatory, and accreditation requirements.

• Makes outbound calls to members to provide assistance in obtaining services (i.e., provide reminders, make appointments, arrange transportation, etc.) to avoid delays in treatment and improve member health outcomes. 

• Performs quantitative and qualitative data analysis to achieve operational targets.

• Prepares QM documents that adhere to the interpretation and application of business requirements.

• Reports business information to internal and external constituents and consults on solutions for emergent issues.

For this role you will need Minimum Requirements

• Prior experience in the healthcare industry

• Prior clinical and/or managed care experience in the healthcare industry or quality management

• 1-2 years work experience

• Experience developing presentations and working with data

Preferred Qualifications

• Extensive Microsoft Excel experience
• HEDIS knowledge

Education

Bachelor's degree preferred; HS Diploma/G.E.D required

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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.

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

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