Quality Project Manager Medicaid

al strategies and values.Responsibilities:

• Prioritizes and makes recommendations for the design, development, and implementation strategy of quality improvement projects, and initiatives.

• Leads all Performance Improvement workgroups, data collection, monitors status of initiatives/programs and completes State/HSAG PIP templates for submission.

• Assists Senior Quality Manager and Director with coordination and implementation of interventions to increase HEDIS, CAHPS, AAA, P4P Metric improvement projects and designated health measures for the Plan.

• Develops documentation templates and systems to support and monitor QM projects and initiatives.

• Support the coordination of corporate compliance and external surveys as needed.

• Support the project life cycle including requirements gathering, creation of project plans and schedules, manage resources, MDHHS compliance projects, and facilitate project execution, deployment, and closure.

• Assists with coordination of data requests and ongoing data management for PIP and QI project management.

• Participate in vendor oversight meetings with contracted vendors.

• Assists with leading cross functional teams to assist business units in integrating quality into their strategic and operational plans.

• Provides updates to Director and leadership on assigned projects in the Quality Improvement work plan; may be required to draft presentations on project status and/or outcomes.

Required Qualifications

• 5+ years clinical and/or managed care experience in the healthcare industry and quality management preferred.

• 3-5 years of Project Management experience.

Preferred Qualifications

• Certified Professional in Healthcare Quality (CPHQ) preferred.

• Lean Six Sigma Green or Black Belt

• Professional Project Management Certification

• Proficient with Project Management tools and tracking systems

• Adept at collaboration, execution and delivery

Education

Bachelor's degree preferred/specialized training/relevant professional qualification.Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$60,300.00 - $132,600.00This 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 peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 02/27/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.