Analyst, Health Care Quality Management - Remote

CVS Health; United States; Remote; USD 44,000 - 85,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Retirement savings options

Paid time off

Wellness programs

Job summary

CVS Health is seeking a Quality Management Analyst to implement and oversee an all-product QM strategy across the health care operations. You will link QM activities to business goals using data, innovation, and information, and support ongoing QM work plans.

In this role you will perform data analysis, document QM activities for regulatory compliance, and contribute to corrective actions, credentialing events, and quality improvement initiatives within a fast-paced healthcare environment.

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.

Tools

MS Excel

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 ourselvesaccountable 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

Pay Range

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.

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: 10/26/2026

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