Senior Healthcare Quality Analytics & Compliance Lead

CVS Health; California (MO); Hybrid; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off

Retirement savings options

Wellness programmes

Job summary

CVS Health in the United States is seeking a Senior Quality Management Specialist to leverage data and analytics to improve healthcare outcomes, design and maintain health information systems, and support regulatory reporting.

You will create dashboards (Power BI, Tableau), apply statistical methods, and translate findings into actionable business insights, partnering with clinical, operations and quality leaders to boost NCQA, HEDIS and Medicare Stars performance.

Qualifications

• Experience with statistical analysis and data interpretation.
• Proficiency with Excel, PowerPoint and dashboard tools (Tableau/Power BI).
• Knowledge of healthcare quality measures (HEDIS/NCQA) is preferred.

Responsibilities

• Leads quality data management, regulatory reporting and analytics to enable insights.
• Designs dashboards and reporting solutions (Power BI, Tableau) for diverse audiences.
• Applies statistical methodologies to ensure accurate, reliable analyses.
• Supports NCQA, HEDIS and Medicare Stars performance and measure improvement.
• Collaborates with clinical, operations and quality leaders to drive strategy.
• Provides analytical support for regulatory reporting and PIPs.

Skills

Statistical analysis

Excel

PowerPoint

Tableau

SQL

Power BI

Education

Associate's degree

Job description

CVS Health in the United States is seeking a Senior Quality Management Specialist to leverage data and analytics to improve healthcare outcomes, design and maintain health information systems, and support regulatory reporting.

You will create dashboards (Power BI, Tableau), apply statistical methods, and translate findings into actionable business insights, partnering with clinical, operations and quality leaders to boost NCQA, HEDIS and Medicare Stars performance.