[Hiring] Analyst, Health Care QM @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.
• Perform audits to ensure compliance with AHCCCS regulations and requirements.
• Request and coordinate required documentation to support quality of care case investigations.
• 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.
• Prepares QM documents that adhere to the interpretation and application of business requirements.
• Supports quality management activities related to quality of care review and investigation.
• Supports quality management functions, including oversight of quality of care concerns.
• Provides operational support for quality management processes and quality of care monitoring.

Qualifications

• 2+ years’ experience in Quality Management/Quality Assurance support.

Requirements

• Detail-oriented with strong critical thinking skills.
• Effective written and verbal communication.
• Ability to collaborate across departments and with external stakeholders.
• Strong problem-solving and investigative skills.
• Proficiency with Microsoft Office and data tracking/reporting tools.

Education

• Bachelor's degree or equivalent experience 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.