Senior Analyst, Health Care Quality Management

tion. Participates in the development and ongoing implementation of Quality Management (QM) work plans and activities, including support of all accreditation activities and contract requirements. Analyzes and reports on findings on health plan activities and performance.Additional responsibilities include but not limited to the following:- Support accreditation minimally for health plan, health equity, and long term supports and services

• Support quality contract requirements, including performance improvement projects (PIPs), analysis of quality improvement activities, and quality program evaluation

• Measure adherence to clinical and preventive health guidelines

• Assists in the development and implementation of QM projects and activities

• Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the department

• Support quality committees execution and reporting to quality committees

• Performs quantitative and qualitative data analysis to achieve operational targets

• Prepares QM documents that adhere to the interpretation and application of business requirementsRequired Qualifications- Candidate must reside in Florida (FL)

• 5 years experience in managed care quality and/or 3 years in Medicaid managed care

• Must be analytical and able to interpret data

• Must be proficient in all Microsoft office Suite, especially Microsoft Excel and PowerPoint

• Must be articulate and able to communicate to multiple internal and external stakeholdersPreferred Qualifications- 1-2 years experience leading or managing performance improvement projects and/or Direct Quality National Committee for Quality Assurance (NCQA) accreditation

• 2 years Performance Improvement Projects (PIP) experience

• National Committee for Quality Assurance (NCQA) accreditation experience

• Medicaid managed care experience

• Master's Degree

EducationBachelor's Degree or equivalent work experience in managed care qualityAnticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$46,988.00 - $91,800.00This 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: 01/30/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.