Manager – Healthcare Quality Project Management

Job not on LinkedIn

🔥 15 hours ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $54.3k - $145.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👷‍♀️ Project Manager

👻 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

• Plan, supervise, and manage multiple large and complex projects • Lead NCQA Accreditation project management activities, including workplan development, milestone tracking, risk management, document collection, and stakeholder coordination • Coordinate accreditation readiness across Quality Management, Medical Management, Provider Services, Member Services, Operations, Compliance, and other functional areas • Establish governance structures, project timelines, status reporting, and executive-level communications • Monitor accreditation standards and requirements and support ongoing compliance • Facilitate accreditation workgroups, steering committees, and readiness reviews • Manage document repositories, evidence collection processes, policies, procedures, and supporting accreditation materials • Track and report accreditation readiness metrics, action plans, and remediation efforts to leadership • Support state regulatory audits, quality program evaluations, and external review activities • Align accreditation requirements with organizational quality strategy • Lead post-survey action planning and continuous improvement initiatives resulting from accreditation and regulatory findings

🎯 Requirements

• Minimum of 3 years' experience in Project Management • Ability to manage multiple projects simultaneously • Strong leadership skills and ability to facilitate cross-functional teams • Excellent written and verbal communication skills • 5+ years' experience working in managed care • Proficiency in Excel and other Microsoft software/tools • Experience leading complex cross-functional projects using formal project management methodologies • Experience managing regulatory, compliance, accreditation, or healthcare quality initiatives • Knowledge of NCQA standards, accreditation processes, and healthcare quality improvement principles • Ability to coordinate multiple stakeholders and drive accountability for deliverables • Experience within Medicaid managed care and healthcare quality operations preferred • Knowledge of HEDIS, Quality Management programs, population health, delegated oversight, and performance improvement initiatives • Strong background in analyzing data • Strong background in population health

🏖️ 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