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CVS Health HCQM Project Manager in Michigan

Job Description

This will be a remote position open to candidates located in MI.As the HCQM Project Manager you will be managing and influencing 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. As the HCQM Project Manager you will support and document NCQA accreditation activities for QM, UM, CM and other standards and also including development of evidence of compliance with accreditation standards. You may be required to complete committee presentations, analysis of large data sets and development of improvement plans.-Serves as the National Project Leader to oversee all aspects of project implementation including budget development and supervision of staff participants (e.g., HEDIS/Accreditation)-May seek funding from external sources-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-May have supervisory responsibilities-Supports sales and marketing in their efforts to acquire and retain customers (e.g., responding to RFPs, quality presentations, request for measurement information)-Educates and consults with unit business managers on quality improvement methods (e.g., work flow, data analysis, metrics)-May include documentation to be used for regulatory purposes

Required Qualifications

• 5 years of quality management experience within clinical and/or managed care environment

Preferred Qualifications

• Project management and leadership experience• Medicaid or MMP experience• Strong communication skills• Experience giving presentations

Education

Bachelor's degree or equivalent experience required

Business Overview

At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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