Manager, Health Care Quality Project Management

Job DescriptionThe Manager Health Care, Quality Project Management leads cross-functional activities throughout the health plan to address CAHPs and BH survey responses and ensure effective implementation of these activities to gain positive outcomes. acts as an advocate for, and support, the business by serving as a quality champion through measuring and monitoring the quality and effectiveness of the care and service provided to our members. Manages all aspects of quality programs and projects that enable Aetna to measure, monitor, and improve the quality of the care and service provided to its members. Consults and/or work cross functionally to influence and promote change in order to continually deliver quality service to our internal and external customers. Responsible for coordinating, leading, and managing multiple functional areas/units including full accountability for business/financial results related to following as appropriate: HEDIS reporting, quality of care, accreditation activities and/or member satisfaction. This person will facilitate collaborative partnerships with different departments to meet NCQA standards and state strategic initiatives for performance improvement projects and population health, while monitoring for state requirements as they align with Health Plan goals. In addition, this person will have knowledge of how population health is integrated throughout the plan and will support program creation.Pay RangeThe typical pay range for this role is:Minimum: 60,300Maximum: 126,600Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualifications-3 + years experience in a project management role. - 3 + years experience working in the Health Care Insurance Industry. -Must have good understanding of NCQA standards -Must be proficient in all Microsoft office Suite, especially Microsoft Excel. -Must be analytical and able to interpret data Must be articulate and able to communicate to multiple internal and external stakeholders. -Must have experience in leading an organization through accreditation -Must be a proficient writer an possess an innate ability to communicate effectively written and orally.Preferred Qualifications2+ years worked in Medicaid Managed Care Organization3+ years leading work groups and strategic planningEducationBachelors Degree in health care related degreeBusiness OverviewBring your heart to CVS Health Every 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. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Created: 2025-10-04