Senior Healthcare Quality Analyst - HEDIS & NCQA Focus

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

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.