Healthcare Nurse Quality Project Manager

Job DescriptionFully remote role in USAStandard business hours.Travel 10%Manages and influences health care quality projects and initiatives through design, development, and implementation. These activities enable Aetna to improve health care quality products, services, and processes by partnering across business units to meet business needs and accomplish goals. In the Health Care Quality Project Manager position, you will work on QIS and HEDIS care gap closure. You will prepare analyses with NCQA guidelines to help ensure all QIS and HEDIS requirements are met. You will be accountable for health care quality projects and initiatives through direction setting and leadership. You will proactively develop quality activities aligned with company strategies and values. You will link the quality management activities to business goals. This position requires that you proactively build strong teams and business relationships, both internally and externally. You will serve as a resource and subject matter expert (SME) on aspects of the quality program to develop and influence business strategies.Prioritizes and makes recommendations for the design, development, and implementation strategy of quality improvement projects, and initiatives. Makes business decisions based on the results of research and data analysis. Has responsibility for decision making regarding the design, development, and implementation strategy of quality improvement projects, and initiatives. Forms and leads cross functional teams to assist business units in integrating quality into their strategic and operational plans. Develops, implements, and evaluates the organization's policies and procedures to meet business needs. Translates and delivers business information to internal and external constituents via formal presentations and/or written communications. Develops documentation templates and systems to support QM projects and initiatives. Educates and consults with unit business managers on quality improvement methods (e.g., work flow, data analysis, metrics). Lead a team of 3 -5 outreach coordinators. Other duties as assigned.Pay RangeThe typical pay range for this role is:Minimum: 60,300Maximum: 130,000Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualifications5 years of Project Management experience3+ years clinical and/or managed care (MCO) experience in healthcare industry and quality management Active & unrestricted licensed LPN or RN 3 years leadership experience3 years In-depth knowledge, experience of and understanding of one of the following: HEDIS/NCQA/QIS/QRSPreferred QualificationsPMP certifiedGood business acumen MS Office Programs, Word, Excel, Power PointEducationAssociates degreeBusiness OverviewBring your heart to CVS Health Every 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. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Created: 2024-11-02