Outreach Coordinator, Quality Analyst

Job DescriptionThe Analyst, Quality is a Subject Matter Expert in Healthcare Effectiveness Data and Information Set (HEDIS) improvement work.Responsibilities include the following: Interacts with providers and/or members to improve healthcare outcomes such as increased preventive care compliance Supports the PE program Active participation in workgroups Delivers Quality information to internal and external constituents via written and verbal communication Actively seeks opportunities for process improvement resulting in efficient and effective work streams Independently map out provider outreach work plan and execute deliverables Supports more complex relationships with both internal and external constituents Consults with constituents on solutions to business issues including education and process improvement opportunities Support complex provider partners with HEDIS gaps in care, data feed, and remote medical record collection discussions and education Work closely with the provider partner to enhance collaboration between provider and Aetna Provides support for HEDIS quality initiatives and regulatory/contractual requirements including outreach to members who are noncompliant in the designated outreach services Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental DataPay RangeThe typical pay range for this role is:Minimum: 40,560Maximum: 83,400Please 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 2 years of work experience in a Health Care role such as Medical Assistant, Medical Records, Claims, Hospital Admissions. Data analytics, Intermediate user with Excel Spread sheets. Detail orientedPreferred Qualifications 2 Years experience HEDIS (Medicare/ Medicaid) Associates degree in a related Health Care field.EducationHigh School Diploma or equivalent GEDBusiness 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: 2025-11-15