Manager Healthcare Quality Project Management

Job DescriptionThe Manager, Healthcare Quality Project Management will participate in data analyses and reporting, quality improvement projects and activities for the MMP/Duals population. This role supports internal quality workgroups, all plan payer meetings and workgroups with external partners and meetings with the Ohio Department of Medicaid. This work supports the team's compliance/regulatory and National Committee for Quality Assurance (NCQA) requirements.You will be joining a dynamic team in our quality management department who are working toward improving health outcomes, health equity and partnerships to improve the delivery and quality of healthcare. This will include: Active participation in workgroups Delivers Quality information to internal and external constituents via written and verbal communication Provides support for HEDIS quality initiatives This position is fully remoteRequired Qualifications 3-5 years' experience in healthcare or managed care quality management, data management Knowledge of excel, data informatics and analyses, quality improvement and HEDIS measures Health informatics Familiarity with SQL Strong communication skills with internal and external partners Must possess a high level of organizational skills to maintain accurate records and documentation Ability to take initiative and see tasks to completionCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications Knowledge of CAHPS and HOS surveys Quality Improvement Science Experience with regulatory oversight such as audit processes and/or regulatory surveysEducationBachelors or equivalent work experience in related fieldBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2025-11-15