Senior Analyst, Health Care Quality Management

Senior Analyst, Health Care Quality Management page is loaded## Senior Analyst, Health Care Quality Managementremote type:
Remote locations:
FL - Work from hometime type:
Full time posted on:
Posted Todaytime left to apply:
End Date:
January 30, 2026 (27 days left to apply) job requisition :
R0700639

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
** Position Summary
** Designs and implements a quality management strategy that meets internal and external constituent expectations for demonstrating quality outcomes, including National Committee for Quality Assurance (NCQA) and state regulators for Medicaid and CHIP.  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, including support of all accreditation activities and contract requirements.

Analyzes and reports on findings on health plan activities and performance.

Additional responsibilities include but not limited to the following:

- Support accreditation minimally for health plan, health equity, and long term supports and services
- Support quality contract requirements, including performance improvement projects (PIPs), analysis of quality improvement activities, and quality program evaluation
- Measure adherence to clinical and preventive health guidelines
- Assists in the development and implementation of QM projects and activities
- Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the department
- Support quality committees execution and reporting to quality committees
- Performs quantitative and qualitative data analysis to achieve operational targets
- Prepares QM documents that adhere to the interpretation and application of business requirements
** Required Qualifications**- Candidate must reside in Florida (FL)- 5 years experience in managed care quality and/or 3 years in Medicaid managed care
- Must be analytical and able to interpret data
- Must be proficient in all Microsoft office Suite, especially Microsoft Excel and Power Point
- Must be articulate and able to communicate to multiple internal and external stakeholders
** Preferred Qualifications**- 1-2 years experience leading or managing performance improvement projects and/or Direct Quality National Committee for Quality Assurance (NCQA) accreditation- 2 years Performance Improvement Projects (PIP) experience
- National Committee for Quality Assurance (NCQA) accreditation experience
- Medicaid managed care experience
- Master’s Degree
** Education
* * Bachelor's Degree or equivalent work experience in managed care quality
** Anticipated Weekly Hours
** 40
* * Time Type
** Full time
** Pay Range
** The typical pay range for this role is:$46,988.00 - $91,800.00

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.

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families…