Manager - Healthcare Quality- Project Management

CVS Health is focused on shaping a more connected and compassionate health experience. The Manager, Healthcare Quality Project Management is responsible for supporting key initiatives related to healthcare quality and regulatory compliance, while driving performance improvement and collaboration across multiple teams.

Responsibilities:

• Serve as a subject matter expert (SME) for CSNP, DSNP, and ISNP products, as well as SRF and HEI programs, influencing quality performance strategies across multiple business areas and functions
• Leverage SME expertise to manage healthcare quality projects, performance improvement initiatives, and strategic priorities through disciplined project management practices
• Support decision-making related to the design, development, prioritization, implementation, and evaluation of quality improvement initiatives, including HEDIS, aligned with enterprise strategy, regulatory requirements, and Medicare/Duals/SRF-HEI business goals
• Analyze key performance data and reporting to identify trends, assess root causes, and inform data-driven business decisions
• Collaborate with cross-functional stakeholders to drive results, including forming and leading virtual and matrixed teams
• Effectively communicate and disseminate information across teams and business units to support alignment and improve business performance

Requirements:

• 3+ years of progressive experience working with HEDIS measures
• 5+ years of project management experience, preferably in healthcare quality or regulatory environments
• Demonstrated success in a metrics-driven and deadline-focused environment
• Proven ability to plan, prioritize, and execute multiple, concurrent business objectives
• Advanced proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook
• Bachelor's Degree required
• Professional certifications such as Project Management Professional (PMP), Six Sigma Black Belt, Agile Scrum Master, Certified Professional in Healthcare Quality (CPHQ), Certified HEDIS Compliance Auditor (CHCA) (current or former), and/or Kaizen certification
• Strong business acumen with polished verbal and written professional communication skills
• Master's Degree in Public Health, Health Administration, Business Administration or related field preferred