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

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. 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. 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 Skills • 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 • 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 Overview • CVS Health is a health solutions company that provides an integrated healthcare services to its members. It was founded in 1963, and is headquartered in Woonsocket, Rhode Island, USA, with a workforce of 10001+ employees. Its website is Company H1B Sponsorship • CVS Health has a track record of offering H1B sponsorships, with 1 in 2022. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job
Apply Now

Similar Opportunities

HEDIS Medical Assistant- Administrative

Remote Full-time

Abstractor, HEDIS /Quality Improvement (Remote) Multiple Locations

Remote Full-time

Dedicated Customer Support Representative for Hobby Lobby – Delivering Exceptional Service and Driving Customer Satisfaction through Effective Communication and Problem-Solving Skills

Remote Full-time

Hybrid Reservations Supervisor - Hilton Baltimore Inner Harbor

Remote Full-time

Designer/Stylist – Creative Visionary for Hobby Lobby’s Visual Content – Kansas City, MO – $27-$35/Hour

Remote Full-time

Designer/Stylist – Fashion and Lifestyle – Remote Work Opportunity with Hobby Lobby in Oceanside

Remote Full-time

Regional HR Business Partner (Remote)

Remote Full-time

Regional Human Resources Business Partner (HRBP), Southeast

Remote Full-time

Sr People Business Partner- US remote East Coast or Central Time Zones

Remote Full-time

#122925: HR Leave & Compliance Specialist – $28/hour

Remote Full-time

Medical Science Liaison (m/w/d) - Uroonkologie (Gebiet Nordrhein-Westfalen)

Remote Full-time

Engineering Manager (full-stack) – Feature Control, ANZ

Remote Full-time

[Remote] Customer Service Professional

Remote Full-time

Experienced Customer Service Consultant – Single Point of Contact for Client-Facing Team in Call Center Environment at arenaflex

Remote Full-time

**Experienced Part-Time Data Entry Clerk - Remote Customer Support & Technical Assistance**

Remote Full-time

Temporary, Part-Time, Remote IEP Writer

Remote Full-time

Senior Software Engineer – Cloud & High Performance Computing

Remote Full-time

Remote Preservice Review RN – Full‑Cycle Prior Authorization, Inpatient Care Management & Discharge Coordination Specialist (Work‑From‑Home)

Remote Full-time

Customer Service Representative - Remote Work Opportunity - Delivering Exceptional Experiences from the Comfort of Your Home

Remote Full-time

**Experienced Data Entry Research Panelist – Flexible Remote Work Opportunities**

Remote Full-time
← Back to Home