Quality Project Manager Medicaid

CVS Health

6d

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. candidate must reside in Michigan Position Summary Helps Quality Team with Implementation of the quality management strategy for all products and services that meets business objectives. Provides strategic oversight for health care quality Performance Improvement Projects (PIPs) and initiatives aligned with all business lines and projects with organizational strategies and values.

Requirements

• 5+ years clinical and/or managed care experience in the healthcare industry and quality management preferred.
• 3-5 years of Project Management experience.

Nice To Haves

• Certified Professional in Healthcare Quality (CPHQ) preferred.
• Lean Six Sigma Green or Black Belt
• Professional Project Management Certification
• Proficient with Project Management tools and tracking systems
• Adept at collaboration, execution and delivery

Responsibilities

• Prioritizes and makes recommendations for the design, development, and implementation strategy of quality improvement projects, and initiatives.
• Leads all Performance Improvement workgroups, data collection, monitors status of initiatives/programs and completes State/HSAG PIP templates for submission.
• Assists Senior Quality Manager and Director with coordination and implementation of interventions to increase HEDIS, CAHPS, AAA, P4P Metric improvement projects and designated health measures for the Plan.
• Develops documentation templates and systems to support and monitor QM projects and initiatives.
• Support the coordination of corporate compliance and external surveys as needed.
• Support the project life cycle including requirements gathering, creation of project plans and schedules, manage resources, MDHHS compliance projects, and facilitate project execution, deployment, and closure.
• Assists with coordination of data requests and ongoing data management for PIP and QI project management.
• Participate in vendor oversight meetings with contracted vendors.
• Assists with leading cross functional teams to assist business units in integrating quality into their strategic and operational plans.
• Provides updates to Director and leadership on assigned projects in the Quality Improvement work plan; may be required to draft presentations on project status and/or outcomes.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager