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Healthcare Quality Management Analyst, Medicare Strategy
Healthcare Quality Management Analyst, Medicare Strategy-March 2024
Mar 18, 2025
ABOUT CVS HEALTH
CVS Health is a healthcare innovation company. Together, we are helping people on their path to better health.
10,000+ employees
Healthcare
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About Healthcare Quality Management Analyst, Medicare Strategy

  Bring 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.

  Job Purpose and Summary:

  These functions include regulatory deliverables, HEDIS activities and reporting and other quality improvement activities. Provide support to staff and communicate with departments across the health plan to facilitate daily quality improvement (QI) functions. Collaborate with all internal and external stakeholders in identifying , developing, and implementing innovative programs and initiatives to improve outcomes. Analyze data, develop reports . Coordinate engagements to increase HEDIS, CAHPS, and UAS measure improvement projects.

  Primary Job Duties & Responsibilities:Assisting Exe. Director Medicare Strategy to make business decisions based on the results of research and data analysis.Support Sr . Analyst, Manager, Sr. Manager, Lead Director with projects/ programs with cross functional teams, assist business units in integrating quality into their strategic and operational plans.Develops materials to simplify communication of complex concepts and data, translating highly technical data into compelling, digestible visual storytelling aids .Bring all lines of business together to show a unified Aetna to external partners. Required Qualifications :2+ years of relevant programming or analytic experience.2+ years data gathering, interpretation & analysis, data presentation.2+ years in a managed care industry. Preferred Qualifications: Experience in data analysis, statistics, MS excel, and other language programsOverall understanding of Medicare, Medicaid, Duals, IFP Quality and Health Plan Quality management experienceExperience with HEDIS and quality measure improvement strategy.Effective communication and interpersonal skills and the ability to work cross-organization, cross-discipline, and across all levels of the organizationAbility to drive clarity out of complex technical information, identify and solve for blockers, and effective collaboration skills to keep projects moving forwardDemonstrated experience building visual presentations, reports, and various types of communicationTranslates knowledge of subject and business needs into clear strategic business plans. Education: Bachelor Degree or equivalent experiencePay Range

  The typical pay range for this role is:

  $40,600.00 - $87,500.00

  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.

  In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

  For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

  CVS 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.

  CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.

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