Senior Analyst, Health Care Quality Management - HEDIS (Remote) jobs in United States
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CVS Health · 3 weeks ago

Senior Analyst, Health Care Quality Management - HEDIS (Remote)

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. The Senior Analyst in Health Care Quality Management will serve as a Subject Matter Expert in HEDIS improvement work, collaborating with providers and stakeholders to enhance healthcare outcomes.

Health CareMedicalPharmaceuticalRetailSales
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H1B Sponsor Likelynote

Responsibilities

Takes a leadership role in the development and implementation of quality management projects and activities
Partner cross functionally to deliver tools supporting the HEDIS team
Communicate with stakeholders on key HEDIS activities
Conducts outreach with complex provider partners to share information to improve health outcomes
Delivers Quality information to internal and external constituents via written and verbal communication
May support training of new quality management staff regarding program description, work plan and evaluation activities
Actively seeks opportunities for process improvement resulting in efficient and effective work streams
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
Independently conduct measure research and datamining throughout the year

Qualification

HEDIS measure knowledgeHealth care experienceMedicare experienceProject Management CertificationCPT/ICD coding knowledgeProvider engagement experienceFlexible with prioritiesVerbal communication skillsWritten communication skillsWork independently

Required

Strong verbal and written communication skills
Provider engagement and/or liaison experience
5+ years recent and related health care experience in any setting
5+ years HEDIS measure knowledge
3+ years of Medicare experience
5+ years of HEDIS medical record abstraction experience
Ability to use standard corporate software packages and corporate applications
Ability to work independently
Flexible/ability to quickly shift priorities

Preferred

Project Management Experience or Certification 3+ years
Experience speaking with medical providers and/or medical office staff
Health insurance experience
Understanding of CPT/CPTII/ICD9/ICD10 coding and medical terminology

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
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