Project Manager - IC

CVS Health; Baton Rouge (LA); Sur place; USD 54 000 - 119 000; Plein temps

Avantages offerts par ce poste

Bonus eligibility

Comprehensive benefits

Paid time off

Résumé du poste

CVS Health in Baton Rouge, LA seeks a dedicated accreditation and quality professional to support HEDIS activities and NCQA readiness. You will coordinate governance, maintain evidence, and produce dashboards for executive updates.

Join a team focused on quality, population health, and compliance, with opportunities to partner across departments and drive corrective action plans that improve performance and patient care.

Qualifications

• Minimum of 3 years of experience supporting HEDIS activities, including measure monitoring, gap closure strategies, medical record review, provider engagement, quality improvement initiatives, and performance reporting.
• Demonstrated experience analyzing healthcare, quality, operational, or population health data to identify trends, develop actionable insights, monitor performance metrics, and support strategic decision‑making.
• Proven experience managing external vendors, consultants, or business partners, including performance monitoring, issue resolution, contract deliverables, stakeholder communication, and accountability for program outcomes.

Responsabilités

• Maintaining the enterprise or market accreditation readiness plan.
• Coordinating the NCQA Steering Committee and its relationship to QMC, QMOC, and other oversight bodies.
• Maintaining committee calendars, charters, membership, agendas, minutes, action plans, approval records, and reporting pathways.
• Monitoring whether committees meet at the required cadence and address required subject matter.
• Managing the standards-to-owner crosswalk.
• Establishing evidence requirements and due dates for each responsible business area.
• Maintaining a controlled evidence repository and version history.
• Coordinating policy, program description, workplan, annual evaluation, and committee approval cycles.
• Tracking gaps identified through readiness reviews, mock surveys, file audits, and internal assessments.
• Escalating overdue evidence, open corrective actions, weak documentation, or unresolved accountability.
• Coordinating with Quality, Population Health, Utilization Management, Credentialing, Compliance, Delegation Oversight, Member Experience, Health Equity, Medical Affairs, and other standard owners.
• Preparing accreditation dashboards and executive readiness updates.
• Supporting the organization during survey preparation, submission, interviews, follow-up requests, and corrective action activity.
• Maintaining year-round readiness following the formal accreditation review.

Connaissances

HEDIS experience

Data analysis

Vendor management

Stakeholder communication

Formation

Bachelor's degree

Outils

Excel

SQL

Power BI

Tableau

Description du poste

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

• Maintaining the enterprise or market accreditation readiness plan.
• Coordinating the NCQA Steering Committee and its relationship to QMC, QMOC, and other oversight bodies.
• Maintaining committee calendars, charters, membership, agendas, minutes, action plans, approval records, and reporting pathways.
• Monitoring whether committees meet at the required cadence and address required subject matter.
• Managing the standards-to-owner crosswalk.
• Establishing evidence requirements and due dates for each responsible business area.
• Maintaining a controlled evidence repository and version history.
• Coordinating policy, program description, workplan, annual evaluation, and committee approval cycles.
• Tracking gaps identified through readiness reviews, mock surveys, file audits, and internal assessments.
• Escalating overdue evidence, open corrective actions, weak documentation, or unresolved accountability.
• Coordinating with Quality, Population Health, Utilization Management, Credentialing, Compliance, Delegation Oversight, Member Experience, Health Equity, Medical Affairs, and other standard owners.
• Preparing accreditation dashboards and executive readiness updates.
• Supporting the organization during survey preparation, submission, interviews, follow-up requests, and corrective action activity.
• Maintaining year-round readiness following the formal accreditation review.

Required Qualifications

• Minimum of 3 years of experience supporting HEDIS activities, including measure monitoring, gap closure strategies, medical record review, provider engagement, quality improvement initiatives, and performance reporting.
• Demonstrated experience analyzing healthcare, quality, operational, or population health data to identify trends, develop actionable insights, monitor performance metrics, and support strategic decision‑making.
• Proven experience managing external vendors, consultants, or business partners, including performance monitoring, issue resolution, contract deliverables, stakeholder communication, and accountability for program outcomes.

Preferred Qualifications

• Experience leading HEDIS improvement initiatives, collaborating with cross-functional teams to improve measure performance, and supporting NCQA or regulatory reporting activities.
• Experience utilizing Excel, SQL, Power BI, Tableau, or other reporting and analytics tools to create dashboards, perform data validation, and communicate findings to leadership.
• Experience overseeing outreach, quality, population health, care management, or member engagement vendors, including campaign performance evaluation, process improvement, and implementation of corrective action plans.
• Bachelors Degree preferred, or equivalent experience can be considered

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $119,340.00

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: 10/28/2026

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