Quality Senior Analyst - Work From Home

4004 Aetna Medicaid Administrators; Kentucky; Hybrid; USD 47,000 - 92,000; Full time

Job summary

CVS Health is seeking a Healthcare Quality Analyst to support HEDIS quality initiatives and data interoperability. This role focuses on NCQA accreditation readiness, CAHPS measures, and improving data capture for quality review across the plan.

You will analyze complex quality data, develop QA programs to ensure regulatory compliance, and contribute to ongoing quality improvement initiatives in a full-time Kentucky-based position.

Qualifications

• 3-5 years of experience in NCQA Accreditation, HEDIS, and CAHPS in the payor or provider space.
• 2-4 years of SQL with strong analytical and data interpretation skills in healthcare quality measures.
• Ability to work with complex data and develop quality improvement initiatives.

Responsibilities

• Supports HEDIS quality initiatives and regulatory requirements.
• Assists with NCQA Health Plan and Health Equity Accreditation readiness.
• Analyzes complex quality data related to healthcare quality measures and outcomes.
• Develops quality assurance programs to ensure regulatory compliance and best practices.

Skills

HEDIS/NCQA/CAHPS experience

SQL

Data interpretation

Quality improvement initiatives

Communication skills

Education

Bachelor's degree preferred

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.

Position Summary

Provides support for Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory and contractual requirements including working to enhance data interoperability. Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental data. Assists with NCQA Health Plan and Health Equity Accreditation continuous readiness efforts across the plan. Analyzes and interprets complex Quality-associated data related to healthcare quality measures, patient outcomes, and performance indicators. Develops complex quality assurance programs to ensure strict compliance with all applicable regulatory requirements, accreditation standards, and industry best practices.

Required Qualifications

• Prior Relevant Work Experience of 3-5 years in NCQA Accreditation, HEDIS, and CAHPS in the payor or provider space.
• Experience with SQL 2-4 years of strong analytical and data interpretation skills, especially related to healthcare quality measures and patient outcomes.
• Ability to work with complex data and develop quality improvement initiatives.
• Candidates must have experience with HEDIS, NCQA, and CAHPS to be considered for this position.
• Excellent communication and organizational skills.

Preferred Qualification

Time management skills Education Bachelor's degree preferred

Anticipated Weekly Hours 40 Time Type Full time

Pay Range

The typical pay range for this role is: $46,988.00 - $91,800.00 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 fulltime 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: 10/02/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.