Health Care Quality Project Management (IC) - Aetna Better Health of Florida
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. This is a fully remote position open only to candidates who currently reside in Florida. Position Summary The HEDIS Manager is an individual contributor accountable for Healthcare Effectiveness Data and Information Set (HEDIS) healthcare quality projects and initiatives. This role provides leadership through influence, strategic direction, and subject matter expertise rather than direct people management. Responsibilities include assimilating information to proactively develop quality activities aligned with program goals and objectives; linking quality management activities to business goals; building strong internal and external business relationships; and serving as a resource and subject matter expert to develop and influence business strategies.
Requirements
- Florida resident
- 5-7 years relevant work experience
- Minimum of 3 years of direct HEDIS experience
- 5 years experience involving use and analyses of health care data
- Minimum of 3 years provider, managed care
Nice To Haves
- 3 years managed care experience
- 3 years HEDIS supervision & management of HEDIS project
- Master's degree preferred
- If candidate has associate’s degree, additional 4 years of experience is needed. If candidate has bachelor’s degree, an additional 2 years of experience is required.
Responsibilities
- Responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with company strategy, commitments, and goals
- Leads and manages annual HEDIS process within plan
- Serves as subject matter expert to enterprise team
- Identifies, develops, and improves processes, procedures, and operations, conducts analysis, leads cross functional teams, and schedules, develops, and implements initiatives to strategically improve project processes
- Secures and coordinates resources, temporary staff, space and equipment, and system requirements
- Evaluates and monitors performance and efficiency of programs to ensure that implementation meets targeted timelines
- Support creation of improvement activities based on HEDIS results and analysis
- Indirectly helps to lead the HEDIS outreach team to operationalize all HEDIS outreach activities
- Synthesizes performance data, prepares presentation materials, and presents comparative complex reports to local and enterprise quality committees
- Builds relationships with internal and external customers
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
