Senior Analyst, Health Care QM - Remote

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

Subject Matter Expert in HEDIS improvement work; supports abstraction teams during Supplemental and Hybrid Seasons and interacts with regional teams and other stakeholders to facilitate actions that improve healthcare outcomes such as increased preventive care compliance.

• Takes a leadership role in the development and implementation of quality management projects and activities.
• Partners cross-functionally to develop and enhance tools supporting HEDIS abstraction.
• Communicate with stakeholders on key HEDIS activities and outcomes.
• Develops, documents, and trains colleagues on abstraction processes.
• Assists manager with tracking and reporting of key metrics.
• Supports training, education, and mentoring of colleagues and temporary staff.
• Delivers clear, accurate information to internal and external constituents via written and verbal communication.
• Actively identifies and implements process improvements to create efficient and effective work streams.
• Builds and supports complex relationships with internal and external constituents and consults on solutions to business needs.
• Conducts claims research to identify and close HEDIS gaps in care.

Required Qualifications

-Minimum of 5 years medical record abstraction

-Minimum of 2 years’ experience working in Electronic Medical Records systems

- Ability to use standard corporate software packages and corporate applications (Microsoft Office Applications and QuickBase)

- Strong verbal and written communication skills

- Ability to work independently

Preferred Qualifications

-Experience working with Supplemental Record Tracking, HEDIS HUB, Record Abstraction Tracking Suite

- Training experience

Education

Bachelor’s degree or equivalent experience

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.