QM Nurse Consultant

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The QM Nurse Consultant is responsible for conducting Quality Management Reviews (QMRs) and supporting Performance Improvement Projects (PIPs) to ensure Medicaid‑funded services meet regulatory, clinical, and quality standards. This role requires strong clinical judgment, audit capability, analytical skills, and the ability to work collaboratively with providers, state agencies, and managed care organizations.