Senior Quality Analyst

Job not on LinkedIn

🔥 0 minutes ago

🐎 Kentucky – Remote

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💵 $47k - $91.8k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

👻 Ghost score 0%

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Logo of CVS Health

CVS Health

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

• Support Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory and contractual requirements • Work to enhance data interoperability • Support medical record capture for HEDIS medical record review and abstraction of supplemental data • Assist with NCQA Health Plan and Health Equity Accreditation continuous readiness efforts across the plan • Analyze and interpret complex quality-associated data related to healthcare quality measures, patient outcomes, and performance indicators • Develop complex quality assurance programs ensuring compliance with regulatory requirements, accreditation standards, and industry best practices

🎯 Requirements

• 3-5 years of prior relevant work experience in NCQA Accreditation, HEDIS, and CAHPS in the payor or provider space • Experience with SQL • 2-4 years of strong analytical and data interpretation skills, especially related to healthcare quality measures and patient outcomes • Ability to work with complex data and develop quality improvement initiatives • Experience with HEDIS, NCQA, and CAHPS required • Excellent communication and organizational skills • Time management skills • Bachelor's degree 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

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