Health Care Quality Accreditation Project Management Manager

CVS Health

5d•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. May reside anywhere in the US Position Summary Manages and influences health care quality projects and initiatives through design, development, and implementation. These activities enable Aetna to improve health care quality products, services, and processes by partnering across business units to meet business needs and accomplish goals. In this role, you will collaborate with colleagues to gather and prepare evidence of compliance for NCQA accreditation. You will review analyses, policies, and other documentation against NCQA guidelines to confirm all accreditation requirements are met. You will be accountable for health care quality projects and initiatives supporting NCQA accreditation through direction setting and leadership. You will proactively develop quality activities aligned with company strategies and values. You will link the quality management activities to business goals. This position requires that you proactively build strong teams and business relationships, both internally and externally. You will serve as a resource and subject matter expert (SME) on aspects of the quality program to develop and influence business strategies.

Requirements

Project management experience
5-7 years clinical and/or managed care experience in the healthcare industry and quality management required

Nice To Haves

2+ years NCQA accreditation experience
Strong communication skills with external clients, primarily regulatory and accreditation partners
MS Office Programs: Excel, Word, PowerPoint, Outlook

Responsibilities

Manages and influences health care quality projects and initiatives through design, development, and implementation.
Collaborates with colleagues to gather and prepare evidence of compliance for NCQA accreditation.
Reviews analyses, policies, and other documentation against NCQA guidelines to confirm all accreditation requirements are met.
Accountable for health care quality projects and initiatives supporting NCQA accreditation through direction setting and leadership.
Proactively develop quality activities aligned with company strategies and values.
Links the quality management activities to business goals.
Proactively build strong teams and business relationships, both internally and externally.
Serve as a resource and subject matter expert (SME) on aspects of the quality program to develop and influence business strategies.