Project Manager - IC

CVS Health•Work At Home-Louisiana, LA

3d•$54,300 - $119,340

About The Position

The Project Manager maintains enterprise or market accreditation readiness and coordinates the NCQA Steering Committee and its relationship to QMC, QMOC, and other oversight bodies. The role manages committee calendars, charters, membership, agendas, minutes, action plans, approval records, and reporting pathways, and monitors committee cadence and coverage of required subject matter. The position manages the standards-to-owner crosswalk, sets evidence requirements and due dates for responsible business areas, and maintains a controlled evidence repository and version history. It coordinates policy, program description, workplan, annual evaluation, and committee approval cycles; tracks gaps identified through readiness reviews, mock surveys, file audits, and internal assessments; and escalates overdue evidence, open corrective actions, weak documentation, or unresolved accountability. The Project Manager coordinates with Quality, Population Health, Utilization Management, Credentialing, Compliance, Delegation Oversight, Member Experience, Health Equity, Medical Affairs, and other standards owners. The role prepares accreditation dashboards and executive readiness updates, supports survey preparation, submissions, interviews, follow-up requests, and corrective action activity, and maintains readiness throughout the year after the formal accreditation review.

Requirements

At least 3 years of experience supporting HEDIS activities, including measure monitoring, gap closure strategies, medical record review, provider engagement, quality improvement initiatives, and performance reporting.
Demonstrated experience analyzing healthcare, quality, operational, or population health data to identify trends, develop actionable insights, monitor performance metrics, and support strategic decision-making.
Proven experience managing external vendors, consultants, or business partners, including performance monitoring, issue resolution, contract deliverables, stakeholder communication, and accountability for program outcomes.

Nice To Haves

Experience leading HEDIS improvement initiatives, collaborating with cross-functional teams to improve measure performance, and supporting NCQA or regulatory reporting activities.
Experience utilizing Excel, SQL, Power BI, Tableau, or other reporting and analytics tools to create dashboards, perform data validation, and communicate findings to leadership.
Experience overseeing outreach, quality, population health, care management, or member engagement vendors, including campaign performance evaluation, process improvement, and implementation of corrective action plans.
Bachelor’s degree preferred, or equivalent experience can be considered.

Responsibilities

Maintain the enterprise or market accreditation readiness plan.
Coordinate the NCQA Steering Committee and its relationship to QMC, QMOC, and other oversight bodies.
Maintain committee calendars, charters, membership, agendas, minutes, action plans, approval records, and reporting pathways.
Monitor whether committees meet at the required cadence and address required subject matter.
Manage the standards-to-owner crosswalk.
Establish evidence requirements and due dates for each responsible business area.
Maintain a controlled evidence repository and version history.
Coordinate policy, program description, workplan, annual evaluation, and committee approval cycles.
Track gaps identified through readiness reviews, mock surveys, file audits, and internal assessments.
Escalate overdue evidence, open corrective actions, weak documentation, or unresolved accountability.
Coordinate with Quality, Population Health, Utilization Management, Credentialing, Compliance, Delegation Oversight, Member Experience, Health Equity, Medical Affairs, and other standard owners.
Prepare accreditation dashboards and executive readiness updates.
Support survey preparation, submission, interviews, follow-up requests, and corrective action activity.
Maintain year-round readiness following the formal accreditation review.