Sr. Analyst, Medicare Strategy - 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.Position Summary
Position Summary

The Senior Manager Health Care Quality Management will be responsible for managing the Quality Program for the Florida Fully Integrated Duals Eligible (FIDE) plan. This involves oversight and execution of contractually required Medicare and Medicaid regulatory deliverables, HEDIS activities, quality improvement activities and internal and external reporting.
Key Responsibilities

• Quality Program/Plan Compliance: Develop the annual quality program (QAPI) trilogy documents (program description, workplan, program evaluation) in compliance with state and federal requirements. Monitor QAPI activities through supporting workplan management. Ensure all Integrated Duals Quality Policies comply with contract requirements. Support internal and external QAPI audits and surveys as needed. Adhere to NCQA standards and work with National Quality Management Accreditation team to maintain the plan's NCQA accreditation as required.

• Cross-Team Collaboration: Work with key stakeholders and key resources across the Integrated Duals and enterprise to develop, drive and deliver on QAPI program activities and initiatives. Coordinate and implement interventions to increase HEDIS, CAHPS, performance improvement projects and designated health measures to meet contract and plan goals.
• Reporting & Communication: Prepare and support the development of reports, presentations, and other documentation to communicate QAPI program outcomes and performance monitoring. This applies to internal and external plan partners. Develop data sets, KPIs, and other types of needed to execute the QAPI program - ensure data accuracy and integrity to meet internal and regulatory requirements.
• Performance Evaluation & Recommendations: Assist in evaluating the QAPI program on an ongoing basis and support the QAPI program improvement process.

• Minimum of 3-5years of experience in healthcare quality, quality improvement, and performance measurement.
• Proficiency in Microsoft Office Suite
• Demonstrated ability to analyze and interpret complex data sets and convert findings into actionable insights.
• Excellent time management, planning and organizational skills.
• Strong written and verbal communication skills.
• Ability to work independently and collaboratively in a fast-paced environment.

• Experience presenting to leaders and/or leadership teams
• Experience with Medicare Stars, HEDIS, or NCQA reporting.
• Excellent time management, planning and organizational skills.

• 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.