Manager - Healthcare Quality - Project Management
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 Multifunctional role supporting all facets of the Clinical Enablement Data department, which oversees HEDIS quality auditing for supplemental data components. This position utilizes advanced project management practices to ensure the quality, compliance, and accuracy of Supplemental Data, Medical Record Review Validation and Assessment Review processes. All assigned projects are completed in full alignment with CVS Health standards and formal project requirements, delivered on time and with exceptional quality. As Manager of Healthcare Quality Project Manager, you will provide comprehensive program and project oversight, including day-to-day project management operations, leadership, direction, and administration throughout the entire project lifecycle—team formation, planning, requirements gathering, design, build, testing, and deployment. This is a fully remote role working from a home office.
Required Qualifications
Responsibilities include but not limited to: Review and interpretation of HEDIS technical specifications Works with advisers from key functional areas to understand potential project impact on the organization, align project work, and execute activities accordingly Presents to internal customers, constituents and business partners, strong business as well as systems knowledge and can perform reasonability checks. Oversees the analysis, planning, design and development being performed by project team to support accurate maintenance of support systems for business areas. Influences change or enhancements to business processes, policies and system infrastructure to improve information quality, availability and access. Develops and participates in presentation and consultation to existing and prospective customers, business partners and internal business areas on information services, capabilities and performance results. Negotiates resources in peer organizations to meet high priority department objectives. Proactively evaluates project activities, builds contingency plans, executes corrective action, and monitors issue resolution to mitigate risks such as scope. Responsibilities include building and enhancing PSV and QR reporting (QuickBase, Power BI and Excel), tools and analytics to drive improvement. And other duties as assigned
Preferred Qualifications
- 5-7 years HEDIS, Primary Source Verification (PSV) and Medical Record Review
- Clinical experience helpful and preferred but not required.
Education
- Bachelor Degree or equivalent experience considered
Anticipated Weekly Hours 40 Time Type Full time Pay Range The Typical Pay Range For This Role Is $54,300.00 - $132,600.00 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. 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: 06/02/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Apply tot his job Apply To this Job