Remote RN Quality Improvement Specialist

CVS Health; Florida; Remote; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Retirement plan

Paid time off

Wellness programs

Job summary

CVS Health is seeking a registered nurse to lead quality improvement initiatives, focusing on HEDIS and CAHPS targets. You will analyze workflows, measure outcomes, and drive evidence-based interventions across POSC-related programs.

In this full-time remote role, you will collaborate with clinicians, administrators, and partners to enhance patient care, ensure regulatory alignment, and advance performance goals within a health-system context.

Qualifications

• Minimum 5–7 years in clinical, quality/compliance or HEDIS roles.
• HEDIS and STARs knowledge with managed care quality focus.
• Strong analytical, communication and writing skills.
• RN licensed and able to work in a clinical setting.

Responsibilities

• Develop and implement quality improvement programs aligned with standards.
• Analyze workflows and performance to measure interventions.
• Lead POSC workplans and coordinate council activities.
• Provide training on HEDIS/CAHPS performance and processes.
• Collaborate across stakeholders to achieve quality goals.
• Ensure adherence to regulatory requirements and best practices.

Education

BSN

Master’s degree in healthcare

CPHQ certification

Job description

CVS Health is seeking a registered nurse to lead quality improvement initiatives, focusing on HEDIS and CAHPS targets. You will analyze workflows, measure outcomes, and drive evidence-based interventions across POSC-related programs.

In this full-time remote role, you will collaborate with clinicians, administrators, and partners to enhance patient care, ensure regulatory alignment, and advance performance goals within a health-system context.