Quality Senior Analyst - Work From Home

CVS Health Corporation

Kentucky

Hybrid

USD 47,000 - 92,000

Full time

3 days ago
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Job summary

CVS Health is seeking a Quality Senior Analyst to support HEDIS quality initiatives and interoperability from a home-based role in Kentucky. The position focuses on medical record capture, data abstraction, and regulatory readiness across NCQA and CAHPS domains.

You will analyze complex quality data, develop QA programs to ensure compliance, and collaborate with teams to drive improvements in healthcare outcomes. Experience in NCQA, HEDIS, CAHPS and SQL is required.

Qualifications

  • 3-5 years of experience in NCQA Accreditation, HEDIS, and CAHPS in the payor or provider space.
  • Experience with SQL.
  • 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.

Responsibilities

  • Support NCQA Accreditation, HEDIS and CAHPS quality initiatives.
  • Assist with data interoperability and medical record capture for HEDIS reviews.
  • Analyze complex quality-related data and interpret performance indicators.
  • Develop and implement quality assurance programs to ensure regulatory compliance and accreditation readiness.

Skills

Analytical skills
Data interpretation
Communication
Organizational skills
Time management

Education

Bachelor's degree preferred

Tools

SQL

Job description

## Quality Senior Analyst - Work From HomeApply: Remote: KY - Work from home: Full time: Posted Today: End Date: October 2, 2026 (2 days left to apply): R1014480We’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 - $91,800.00This 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: 10/02/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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