[Hiring] Analyst, Health Care Quality Management @CVS Health

Role Description

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.

• Works to achieve day-to-day objectives for the Health Care Quality Management (QM) function.
• 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.
• Recommends corrective actions regarding credentialing events and potential quality concerns through clinical analysis.
• 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.

Qualifications

• 3+ years work related experience in the healthcare industry or quality management.
• Strong computer skills including mastery of MS Excel, Word and Adobe Acrobat.
• Strong communication skills with external clients, primarily delegate entity contacts.

Requirements

• Auditing Experience (Preferred)
• Credentialing Experience (Preferred)
• Experience with NCQA (Preferred)

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.
• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.