Health Care Quality Management Project Manager

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Job Description

- Implements quality management strategy that meets internal and external expectations for demonstrating quality outcomes.

- Using innovation, integration, and information links the quality management activities to business goals.

- Health Care Quality Management includes, but is not limited to, QM Programs/Infrastructure, behavioral health QM, regulatory/accreditation support, as well as clinical and service measurement and improvement.

- Processes and evaluates complex data and information sets (e.g. accreditation/regulatory standards, HEDIS data, enrollment data)

- Performs quantitative and qualitative data analysis;

- Converts the results of data analysis into meaningful business information and reaches conclusions about the data;

- Prepares and completes QM documents based on interpretation and application of business requirements;

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

- Assists in the development and implementation of QM projects and activities;

- Accountable for completing and implementation of QM Work Plan Activities (e.g. QM committees, audits, clinical reviews,)

- Prepares and reports business information to internal and external constituents and consults with constituents on solutions to business issues (e.g. delegates, committees, workgroups, regulators)

- Responsible for the ongoing maintenance and implementation of quality improvement projects and initiatives.

Pay Range

The typical pay range for this role is:

Minimum: 43,700

Maximum: 100,000

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.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

Required Qualifications

- 3 years' of quality management, case management, or populations health experience in the healthcare industry.

- Ability to support Central Standard Time.

Preferred Qualifications

- Project Management Experience

Education

- Bachelor's degree, Nursing degree, or equivalent experience.

Business Overview

Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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Company info

CVS Health.
Website : https://www.cvshealth.com