Senior Analyst, Health Care Quality Management jobs in United States
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CVS Health · 2 months ago

Senior Analyst, Health Care Quality Management

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care for millions of Americans. The Senior Analyst in Health Care Quality Management will design and implement quality management strategies, ensuring adherence to accreditation and regulatory standards while analyzing health plan performance and supporting quality improvement initiatives.

Health CareMedicalPharmaceuticalRetailSales
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H1B Sponsor Likelynote

Responsibilities

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

Qualification

Managed care qualityMedicaid managed careData analysisPerformance Improvement ProjectsNCQA accreditationMicrosoft ExcelAnalytical skillsMicrosoft Office SuiteCommunication skills

Required

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 PowerPoint
Must be articulate and able to communicate to multiple internal and external stakeholders
Bachelor's Degree or equivalent work experience in managed care quality

Preferred

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

Benefits

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

Company

CVS Health

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CVS Health is a health solutions company that provides an integrated healthcare services to its members.

H1B Sponsorship

CVS Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (1)

Funding

Current Stage
Public Company
Total Funding
$4B
Key Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity

Leadership Team

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David Joyner
President and Chief Executive Officer, CVS Health
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Chandra McMahon
SVP & CISO
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Company data provided by crunchbase