Manager - Healthcare Quality - Project Management
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. Position Summary Multifunctional role supporting all facets of the Clinical Enablement Data department, which oversees HEDIS quality auditing for supplemental data components. This position utilizes advanced project management practices to ensure the quality, compliance, and accuracy of Supplemental Data, Medical Record Review Validation and Assessment Review processes. All assigned projects are completed in full alignment with CVS Health standards and formal project requirements, delivered on time and with exceptional quality. As Manager of Healthcare Quality Project Manager, you will provide comprehensive program and project oversight, including day-to-day project management operations, leadership, direction, and administration throughout the entire project lifecycle—team formation, planning, requirements gathering, design, build, testing, and deployment. This is a fully remote role working from a home office.
Requirements
- Bachelor Degree or equivalent experience considered
Nice To Haves
- 5-7 years HEDIS, Primary Source Verification (PSV) and Medical Record Review Clinical experience helpful and preferred but not required.
Responsibilities
- Review and interpretation of HEDIS technical specifications
- Works with advisers from key functional areas to understand potential project impact on the organization, align project work, and execute activities accordingly
- Presents to internal customers, constituents and business partners, strong business as well as systems knowledge and can perform reasonability checks.
- Oversees the analysis, planning, design and development being performed by project team to support accurate maintenance of support systems for business areas.
- Influences change or enhancements to business processes, policies and system infrastructure to improve information quality, availability and access.
- Develops and participates in presentation and consultation to existing and prospective customers, business partners and internal business areas on information services, capabilities and performance results.
- Negotiates resources in peer organizations to meet high priority department objectives.
- Proactively evaluates project activities, builds contingency plans, executes corrective action, and monitors issue resolution to mitigate risks such as scope.
- Responsibilities include building and enhancing PSV and QR reporting (QuickBase, Power BI and Excel), tools and analytics to drive improvement.
- And other duties as assigned
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility
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What This Job Offers
Job Type
Full-time
Career Level
Manager
