Health Care Quality Management Analyst

Job not on LinkedIn

🔥 0 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $43.9k - $85.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

👻 Ghost score 0%

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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

• Implement an all-product quality management strategy meeting internal and external constituent expectations for demonstrating quality outcomes • Link quality management activities to business goals using innovation, integration, and information • Participate in developing and implementing Quality Management work plans and activities • Achieve day-to-day objectives for the Health Care Quality Management function • Assist with QM projects and activities • Convert data analysis results into meaningful business information and disseminate departmental conclusions • Document QM activities to demonstrate compliance with business, regulatory, and accreditation requirements • Recommend corrective actions regarding credentialing events and potential quality concerns through clinical analysis • Perform quantitative and qualitative data analysis to achieve operational targets • Prepare QM documents adhering to business requirements • Report business information to internal and external constituents and consult on solutions for emergent issues

🎯 Requirements

• 3+ years work related experience in the healthcare industry or quality management • Strong computer skills including mastery of MS Excel, Word and Adobe Acrobat • Strong communication skills with external clients, primarily delegate entity contacts • Auditing Experience (preferred) • Credentialing Experience (preferred) • Experience with NCQA (preferred)

🏖️ 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 range