Analyst, Health Care Quality Management - Remote

CVS Health; Columbus (OH); On-site; USD 44,000 - 85,000; Full time

Benefits offered by this job

Bonus eligibility

Comprehensive benefits

Job summary

CVS Health is seeking a Quality Management professional to implement and oversee an all-product QM strategy, aligning activities with business goals and regulatory requirements. The role emphasizes data-driven analysis, documentation, and cross-functional collaboration to improve health-care outcomes.

Ideal candidates will have 3+ years in health care or QM, strong Excel/Word/Adobe Acrobat skills, and effective communication with external clients.

Qualifications

• 3+ years work related experience in the healthcare industry or quality management.
• Strong computer skills including mastery of MS Excel, Word and Adobe Acrobat
• Strong communication skills with external clients, primarily delegate entity contacts.

Responsibilities

• Works to achieve day-to-day objectives for the Health Care Quality Management (QM) function.
• Assists in the development and implementation of QM projects and activities.
• Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the department.
• Documents QM activities to demonstrate compliance with business, regulatory, and accreditation requirements.
• Recommends corrective actions regarding credentialing events and potential quality concerns through clinical analysis.
• Performs quantitative and qualitative data analysis to achieve operational targets.
• Prepares QM documents that adhere to the interpretation and application of business requirements.
• Reports business information to internal and external constituents and consults on solutions for emergent issues.

Skills

Healthcare experience

Quality management

MS Excel

MS Word

Adobe Acrobat

External communications

Tools

MS Excel

MS Word

Adobe Acrobat

Job description

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.

A Brief Overview

Implements an all-product quality management strategy that meets internal and external constituent expectations for demonstrating quality outcomes. 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.

What You Will Do

• Works to achieve day-to-day objectives for the Health Care Quality Management (QM) function.
• Assists in the development and implementation of QM projects and activities.
• Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the department.
• Documents QM activities to demonstrate compliance with business, regulatory, and accreditation requirements.
• Recommends corrective actions regarding credentialing events and potential quality concerns through clinical analysis.
• Performs quantitative and qualitative data analysis to achieve operational targets.
• Prepares QM documents that adhere to the interpretation and application of business requirements.
• Reports business information to internal and external constituents and consults on solutions for emergent issues.

Required Qualifications

• 3+ years work related experience in the healthcare industry or quality management.
• Strong computer skills including mastery of MS Excel, Word and Adobe Acrobat
• Strong communication skills with external clients, primarily delegate entity contacts.

Preferred Qualifications

• Auditing Experience
• Credentialing Experience
• Experience with NCQA

Anticipated Weekly Hours

40

Time Type

Full time

The Typical Pay Range For This Role Is

$43,888.00 - $85,068.00

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.

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: 10/26/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.