医疗保健质量管理专员（远程-必须居住在佛罗里达州）
Health Care Quality Management Specialist (Remote-Must Reside in FL)
职位名称：医疗质量管理人员（远程办公-必须居住在佛罗里达州）
工作地点：在家办公，佛罗里达州，美国
工作地点类型：远程
工作合同类型：全职
职位级别：
我们正在构建一个围绕每个人的健康世界——打造更紧密联系、更便捷、更有同理心的健康体验。在CVS Health®，你将与充满热情的同事一起工作，他们深怀关怀，有目的性地创新，对自己负责，并在每件事中优先考虑安全和质量。加入我们，成为更大事业的一部分——帮助简化医疗保健，一人、一户、一个社区地进行。
职位概述
医疗质量管理人员实施一种满足内部和外部相关方期望的质量管理策略，以展示质量成果，包括NCQA和针对医疗补助和儿童健康保险计划（CHIP）的州监管机构。通过创新、整合和信息，将质量管理活动与业务目标联系起来。参与质量管理体系（QM）工作计划和活动的开发和持续实施，包括对所有认证活动和合同要求的支持。
您将负责的工作
- 最少支持健康计划、健康结果和长期支持与服务的认证。
- 支持质量合同要求，包括绩效改进项目、质量改进活动分析和质量项目评估。
- 协助质量管理体系项目的开发和实施。
- 将数据分析结果转化为有意义的业务信息，传达部门整体功能的结论。
- 支持质量委员会的执行和向质量委员会报告。
- 进行定量和定性数据分析以实现运营目标。
- 编制符合业务需求解释和应用的质量管理文件。
所需资格
- 必须居住在佛罗里达州或在入职日期开始后的3至4个月内愿意搬迁到佛罗里达州。不提供搬迁补助。
- 至少3年在管理护理质量和/或供应商质量方面的工作经验。
- 有领导或支持绩效改进项目（PIPs）和/或NCQA认证的经验。
- 必须熟练使用整个Microsoft Office套件，特别是Microsoft Excel和PowerPoint。
- 必须具备分析能力，能够解读
查看英文原文
Job Title: Health Care Quality Management Specialist (Remote-Must Reside in FL)
Job Location: Work at Home, Florida, United States
Job Location Type: Remote
Job Contract Type: Full-time
Job Seniority Level:
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
The Health Care Quality Management Analyst implements a quality management strategy that meets internal and external constituent expectations for demonstrating quality outcomes, including NCQA and state regulators for Medicaid and CHIP. Links the quality management activities to business goals by using innovation, integration, and information. Participates in the development and ongoing implementation of Quality Management (QM) work plans and activities, including support of all accreditation activities and contract requirements.
What you will do
- Support accreditation minimally for health plan, health outcomes, and long term supports and services.
- Support quality contract requirements, including performance improvement projects, analysis of quality improvement activities, and quality program evaluation.
- Assists in the development and implementation of Quality Management projects and activities.
- Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the department.
- Support quality committees execution and reporting to quality committees.
- Performs quantitative and qualitative data analysis to achieve operational targets.
- Prepares Quality Management documents that adhere to the interpretation and application of business requirements.
Required Qualifications
- Must reside in Florida or be willing to relocate to Florida within 3 to 4 months of the start date. Relocation assistance is not provided.
- Minimum 3 years experience in managed care quality and/or provider quality.
- Experience leading or supporting performance improvement projects (PIPs) and/or NCQA accreditation.
- Must be proficient in all Microsoft office Suite, especially Microsoft Excel and PowerPoint.
- Must be analytical and able to interpret data.
- Must be articulate and able to communicate to multiple internal and external stakeholders.
Preferred Qualifications
- Performance Improvement Projects (PIPs) experience.
- NCQA accreditation experience.
Education
· Bachelor’s degree or equivalent work experience in managed care quality
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$43,888.00 - $85,068.00This 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.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 09/30/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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Originally posted on Himalayas