Analyst, Health Care Quality Management

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🔥 0 minutes ago

🏈 Ohio, Mississippi, +1 more states – Remote

🏈 Ohio – Remote 🎸 Mississippi – Remote 🤠 Texas – Remote

💵 $43.9k - $76.5k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

🚫👨‍🎓 No degree required

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Implements a quality management strategy that meets internal and external expectations • Works to achieve day-to-day objectives for the Health Care Quality Management function • Condenses complex data into a clear picture • Assists in the development and implementation of QM projects • Documents QM activities to demonstrate compliance • Makes outbound calls to assist members in obtaining services • Performs quantitative and qualitative data analysis to achieve operational targets • Reports business information and consults on solutions for emergent issues

🎯 Requirements

• Prior experience in the healthcare industry • Prior clinical and/or managed care experience in the healthcare industry or quality management • 1-2 years work experience • Experience developing presentations and working with data • Extensive Microsoft Excel experience • HEDIS knowledge • Bachelor's degree preferred; HS Diploma/G.E.D required

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • additional resources, based on eligibility