Health Care Quality Management Specialist
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Job Description
Health Care Quality Management Specialist supporting NCQA accreditation, quality contracts, and performance improvement projects. Remote role for Florida residents at CVS Health.
Responsibilities:
- Support accreditation for health plan, health outcomes, and long term supports and services
- Support quality contract requirements, including performance improvement projects, analysis of quality improvement activities, and quality program evaluation
- Assist in developing and implementing Quality Management projects and activities
- Convert data analysis results into meaningful business information and disseminate conclusions about department performance
- Support execution and reporting of quality committees
- Perform quantitative and qualitative data analysis to achieve operational targets
- Prepare Quality Management documents aligned with business requirements
- Link quality management activities to business goals using innovation, integration, and information
Requirements:
- Must reside in Florida or be willing to relocate to Florida within 3 to 4 months of the start date
- Relocation assistance is not provided
- Minimum 3 years experience in managed care quality and/or provider quality
- Experience leading or supporting performance improvement projects (PIPs) and/or NCQA accreditation
- Proficient in all Microsoft Office Suite, especially Microsoft Excel and PowerPoint
- Analytical ability and ability to interpret data
- Ability to communicate with multiple internal and external stakeholders
- Bachelor’s degree or equivalent work experience in managed care quality
Benefits:
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program in addition to base pay
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