Analyst, Health Care Quality Management

CVS Health•Carapichaima, TX

4d•$43,888 - $76,500•Remote

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Requirements

Prior experience in the healthcare industry
Prior clinical and/or managed care experience in the healthcare industry or quality management
1-2 years work experience
Experience developing presentations and working with data
HS Diploma/G.E.D required

Nice To Haves

Extensive Microsoft Excel experience
HEDIS knowledge
Bachelor's degree preferred

Responsibilities

Works to achieve day-to-day objectives for the Health Care Quality Management (QM) function.
Condenses complex data information into a clear and precise picture while working independently.
Assists in the development and implementation of QM projects and activities.
Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the department.
Documents QM activities to demonstrate compliance with business, regulatory, and accreditation requirements.
Makes outbound calls to members to provide assistance in obtaining services (i.e., provide reminders, make appointments, arrange transportation, etc.) to avoid delays in treatment and improve member health outcomes.
Performs quantitative and qualitative data analysis to achieve operational targets.
Prepares QM documents that adhere to the interpretation and application of business requirements.
Reports business information to internal and external constituents and consults on solutions for emergent issues.