Analyst, Health Care Quality Management - Remote

CVS Health • Work At Home-Ohio, OH

2d • $43,888 - $85,068 • Remote

About The Position

The Analyst, Health Care Quality Management implements an all-product quality management strategy that meets internal and external constituent expectations for demonstrating quality outcomes. The role links quality management activities to business goals through innovation, integration, and information, and participates in developing and implementing Quality Management work plans and activities.

The analyst supports day-to-day Health Care Quality Management objectives, assists with QM projects, and conducts quantitative and qualitative data analysis to achieve operational targets. The role turns analysis results into useful business information, documents activities to demonstrate compliance with business, regulatory, and accreditation requirements, and prepares QM documents based on business requirements. It also recommends corrective actions related to credentialing events and potential quality concerns through clinical analysis, and reports information to internal and external constituents while consulting on solutions for emergent issues.

Requirements

• At least 3 years of 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.

Nice To Haves

• Auditing experience.
• Credentialing experience.
• Experience with NCQA.

Responsibilities

• Work toward day-to-day objectives for the Health Care Quality Management function.
• Assist with developing and implementing Quality Management projects and activities.
• Convert data analysis results into meaningful business information and communicate conclusions about the department's overall function.
• Document Quality Management 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 Quality Management documents that adhere to the interpretation and application of business requirements.
• Report business information to internal and external constituents and consult on solutions for emergent issues.

Benefits

• Medical coverage.
• Dental coverage.
• Vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs.
• Other resources, based on eligibility.
• Eligibility for a CVS Health bonus, commission, or short-term incentive program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed