Quality Senior Analyst - Work From Home

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Candidates located in Eastern and Central time zones are highly encouraged to apply. Position Summary Provides support for Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory and contractual requirements including working to enhance data interoperability. Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental data. Assists with NCQA Health Plan and Health Equity Accreditation continuous readiness efforts across the plan. Analyzes and interprets complex Quality-associated data related to healthcare quality measures, patient outcomes, and performance indicators. Develops complex quality assurance programs to ensure strict compliance with all applicable regulatory requirements, accreditation standards, and industry best practices. Required Qualifications • Prior Relevant Work Experience of 3-5 years in NCQA Accreditation, HEDIS, and CAHPS in the payor or provider space. • 2-4 years of strong analytical and data interpretation skills, especially related to healthcare quality measures and patient outcomes. • Ability to work with complex data and develop quality improvement initiatives. • Candidates must have experience with HEDIS, NCQA, and CAHPS to be considered for this position. • Excellent communication and organizational skills. Preferred Qualification • Please refer to the required qualification section. Education • Bachelor's degree required or 3-5 years of equivalent experience. Anticipated Weekly Hours 40 Time Type Full time Pay Range The Typical Pay Range For This Role Is $46,988.00 - $91,800.00 This 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 People We 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/benefits We anticipate the application window for this opening will close on: 12/03/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Apply tot his job Apply To this Job