[Hiring] Project Manager @CVS Health

Role Description

Maintaining the enterprise or market accreditation readiness plan.

• Coordinating the NCQA Steering Committee and its relationship to QMC, QMOC, and other oversight bodies.
• Maintaining committee calendars, charters, membership, agendas, minutes, action plans, approval records, and reporting pathways.
• Monitoring whether committees meet at the required cadence and address required subject matter.
• Managing the standards-to-owner crosswalk.
• Establishing evidence requirements and due dates for each responsible business area.
• Maintaining a controlled evidence repository and version history.
• Coordinating policy, program description, workplan, annual evaluation, and committee approval cycles.
• Tracking gaps identified through readiness reviews, mock surveys, file audits, and internal assessments.
• Escalating overdue evidence, open corrective actions, weak documentation, or unresolved accountability.
• Coordinating with Quality, Population Health, Utilization Management, Credentialing, Compliance, Delegation Oversight, Member Experience, Health Equity, Medical Affairs, and other standard owners.
• Preparing accreditation dashboards and executive readiness updates.
• Supporting the organization during survey preparation, submission, interviews, follow-up requests, and corrective action activity.
• Maintaining year-round readiness following the formal accreditation review.

Qualifications

• Minimum of 3 years of experience supporting HEDIS activities, including measure monitoring, gap closure strategies, medical record review, provider engagement, quality improvement initiatives, and performance reporting.
• Demonstrated experience analyzing healthcare, quality, operational, or population health data to identify trends, develop actionable insights, monitor performance metrics, and support strategic decision-making.
• Proven experience managing external vendors, consultants, or business partners, including performance monitoring, issue resolution, contract deliverables, stakeholder communication, and accountability for program outcomes.

Requirements

• Experience leading HEDIS improvement initiatives, collaborating with cross-functional teams to improve measure performance, and supporting NCQA or regulatory reporting activities.
• Experience utilizing Excel, SQL, Power BI, Tableau, or other reporting and analytics tools to create dashboards, perform data validation, and communicate findings to leadership.
• Experience overseeing outreach, quality, population health, care management, or member engagement vendors, including campaign performance evaluation, process improvement, and implementation of corrective action plans.
• Bachelors Degree preferred, or equivalent experience can be considered.

Benefits

• Comprehensive and competitive mix of pay and benefits.
• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.