Sr Analyst Health Care QM
CVS Pharmacy - Wichita, KS
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Job DescriptionConduct onsite visits with provider groups in designated state. Deliver gap in care reports and work with provider offices to get members scheduled and gaps closed. Provide education and support to provider offices. Streamline/ simplify by providing direct communication between providers and Quality. Providers will have direct access to speaking with experts with ability to explain details of performance measures, and their current performance rates, as well as provide resources to improve performance. Abstract medical record year around, reduce copy vendor expense associated with HEDIS.Required QualificationsBachelor's Degree or relevant work experience 5 years managed care experience / quality experience Project Management experience HEDIS and NCQA experienceCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred QualificationsMaster's DegreeProject Management CertificationExperience with provider offices Registered Nurse or relevant work experienceEducationBachelor's degreeBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Created: 2024-09-07