RN Quality Improvement Consultant

CVS Health; Fulton (MS); Remote; USD 67,000 - 143,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Job summary

CVS Health is seeking a Registered Nurse with 5–7 years of quality, case management, or administrative experience to lead performance improvement initiatives. The role emphasizes HEDIS and CAHPS alignment, regulatory compliance, and continuous practice improvement.

Responsibilities include analyzing workflows, developing and coordinating POSC workplans, and collaborating with stakeholders to enhance patient care and safety. A BSN is required with a Master’s preferred.

Qualifications

• RN required and licensed
• Experience in quality/compliance or HEDIS performance-based roles
• Knowledge of managed care quality, HEDIS and STARs measures
• Strong interpersonal, analytical and writing skills
• Ability to handle sensitive information and work ethically
• Ability to collaborate across teams
• Ability to communicate and present effectively

Responsibilities

• Develops and implements quality improvement programs
• Analyzes workflows and performance to improve care
• Manages POSC workplans and facilitates workgroups
• Contributes to policy development to improve clinical quality and safety
• Stays current with healthcare innovations and research
• Provides training on HEDIS and CAHPS performance

Skills

RN

Critical thinking

Analytic skills

Interpersonal skills

Communication

Collaboration

Problem solving

Education

BSN

Master’s degree (preferred)

Tools

HEDIS knowledge

STARs measures

Job description

CVS Health is seeking a Registered Nurse with 5–7 years of quality, case management, or administrative experience to lead performance improvement initiatives. The role emphasizes HEDIS and CAHPS alignment, regulatory compliance, and continuous practice improvement.

Responsibilities include analyzing workflows, developing and coordinating POSC workplans, and collaborating with stakeholders to enhance patient care and safety. A BSN is required with a Master’s preferred.