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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.

Position Summary
Acts as an Quality Provider Liaison, advocating for, and supports, the business by serving as a quality champion, Implementing an all product quality management strategies that meets internal and external constituent expectations for demonstrating quality outcomes. 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. 

• Prioritizes and makes recommendations for the design, development, and implementation strategy of quality improvement projects, and initiatives. 
• Designs the data collection methodology, metrics, and data elements needed to measure outcomes of QI projects. 
• 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. 
• Forms and leads cross functional workgroups to design and implement QI initiatives. 
• Schedules meetings with Provider as per contract requirements.

Required Qualifications

• 3-5 years managed care and/or quality improvement experience
• 3-5 years project management experience
• 1+ years HEDIS experience
• 1+ years NCQA or accreditation experience
• Experience with provider offices
• Must live near San Antonio TX, and be willing to travel up to 50%

Preferred Qualifications

• Master's Degree
• Behavioral health experience
• Project Management Certification
• Registered nurse or relevant work experience

Education

• Bachelor's degree, or equivalent experience

Pay Range

The typical pay range for this role is:

$46,988.00 - $102,000.00

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. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 01/20/2025

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