Health Care Quality Project Management

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

*APPLICANTS MUST RESIDE IN FLORIDA*

The HEDIS manager is accountable for Healthcare Effectiveness Data and Information Set (HEDIS) health care quality projects and initiatives through direction setting and leadership. Responsibilities include assimilating information to proactively develop quality activities aligned with program goals and objectives; linking the quality management activities to business goals; proactively building strong teams and business relationships, both internally and externally; and serving as a resource and subject matter expert on aspects of the quality program to develop and influence business strategies.

Position Summary

- 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

 

Required Qualifications

- 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, or medical facility experience

Preferred Qualifications

- 3 years managed care experience

- 3 years HEDIS supervision & management of HEDIS project

Education and Certification Requirements

-Bachelor's Degree or equivalent experience

-Master's Degree preferred

 

 

 

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $119,340.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• 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 medi