Senior Analyst, Health Care Quality Management

Job not on LinkedIn

🔥 0 minutes ago

🏈 Alabama, Colorado, +27 more states – Remote

🏈 Alabama – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

💵 $47k - $91.8k / year

⏰ Full Time

🟠 Senior

🧐 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

• Provide consultation based on analysis and identification of key drivers of results • Use data to identify clinical trends, analyze high-cost claimants, population health and other clinical trends • Evaluate performance results and monitor engagement • Collaborate on opportunities for improvement • Identify areas for quality improvement and partner with provider practices to implement quality strategies • Establish and maintain engagement with large provider groups • Analyze provider performance metrics and clinical operations for VBC readiness and risk assessment • Develop data-driven strategies to improve provider performance and financial rewards • Design and deliver training programs, workshops, and educational materials for providers and staff • Facilitate sessions on clinic operations, quality standards, regulatory compliance, member experience and patient-centered care • Lead provider performance improvement initiatives and implement performance improvement plans • Monitor progress and evaluate intervention effectiveness with practice partners • Conduct audits, reviews and assessments of provider practices, documentation and compliance • Collaborate with clinical, operational leadership, value-based care, quality management and provider relations teams • Prepare reports, dashboards and presentations for senior leadership • Stay current on industry trends, best practices and regulatory changes • Support population health and health equity initiatives • Conduct research and benchmarking activities

🎯 Requirements

• Prior experience in the healthcare industry • Prior clinical and/or managed care experience in the healthcare industry or quality management • 1-2 years relevant work experience • Experience developing presentations and working with data • HS Diploma/G.E.D minimum • Extensive Microsoft Excel experience preferred • HEDIS knowledge preferred • Certified Health Data Analyst (CHDA) preferred

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility