Analyst, Health Care QM
CVSHealth
IT
Remote
USD 43,888-85,068 / year
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
Implements an all-product quality management strategy that meets internal and external constituent expectations for demonstrating quality outcomes. Links the quality management activities to business goals by using innovation, integration, and information. Participates in the development and ongoing implementation of Quality Management (QM) work plans and activities.
What you will do
- Works to achieve day-to-day objectives for the Health Care Quality Management (QM) function.
- Assists in the development and implementation of QM projects and activities.
- Perform audits to ensure compliance with AHCCCS regulations and requirements.
- Request and coordinate required documentation to support quality of care case investigations.
- Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the department.
- Documents QM activities to demonstrate compliance with business, regulatory, and accreditation requirements.
- Prepares QM documents that adhere to the interpretation and application of business requirements.
- Supports quality management activities related to quality of care review and investigation
- Supports quality management functions, including oversight of quality of care concerns
- Provides operational support for quality management processes and quality of care monitoring
Required Qualifications
- 2+ years’ experience in Quality Management/Quality Assurance support
Preferred Qualifications
- Detail-oriented with strong critical thinking skills
- Effective written and verbal communication
- Ability to collaborate across departments and with external stakeholders
- Strong problem-solving and investigative skills
- Proficiency with Microsoft Office and data tracking/reporting tools
Education
- Bachelor's degree or equivalent experience preferred.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$43,888.00 - $85,068.00This 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.