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CVS Health · 2 weeks ago

Quality Project Manager Medicaid

Lansing, MI

Full-time

Onsite

Mid, Senior Level

$60K/yr - $133K/yr

5+ years exp

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care for millions of Americans. The Quality Project Manager Medicaid will support the Quality Team in implementing quality management strategies and oversee healthcare quality Performance Improvement Projects aligned with business objectives.

Health CareMedicalPharmaceuticalRetailSales

Responsibilities

Prioritizes and makes recommendations for the design, development, and implementation strategy of quality improvement projects, and initiatives

Leads all Performance Improvement workgroups, data collection, monitors status of initiatives/programs and completes State/HSAG PIP templates for submission

Assists Senior Quality Manager and Director with coordination and implementation of interventions to increase HEDIS, CAHPS, AAA, P4P Metric improvement projects and designated health measures for the Plan

Develops documentation templates and systems to support and monitor QM projects and initiatives

Support the coordination of corporate compliance and external surveys as needed

Support the project life cycle including requirements gathering, creation of project plans and schedules, manage resources, MDHHS compliance projects, and facilitate project execution, deployment, and closure

Assists with coordination of data requests and ongoing data management for PIP and QI project management

Participate in vendor oversight meetings with contracted vendors

Assists with leading cross functional teams to assist business units in integrating quality into their strategic and operational plans

Provides updates to Director and leadership on assigned projects in the Quality Improvement work plan; may be required to draft presentations on project status and/or outcomes

Qualification

Quality ManagementHealthcare ExperienceProject ManagementCPHQ CertificationLean Six SigmaProject Management ToolsExecutionDeliveryCollaboration

Required

5+ years clinical and/or managed care experience in the healthcare industry and quality management preferred

3-5 years of Project Management experience

Bachelor's degree preferred/specialized training/relevant professional qualification

Preferred

Certified Professional in Healthcare Quality (CPHQ) preferred

Lean Six Sigma Green or Black Belt

Professional Project Management Certification

Proficient with Project Management tools and tracking systems

Adept at collaboration, execution and delivery

Benefits

Affordable medical plan options

401(k) plan (including matching company contributions)

Employee stock purchase plan

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching

Paid time off

Flexible work schedules

Family leave

Dependent care resources

Colleague assistance programs

Tuition assistance

Retiree medical access