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Quality Management Nurse Consultant

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Work At Home

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Category:
Nursing

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Contract Type:
Employment contract

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Salary:

66575.00 - 142576.00 USD / Year

Job Description:

This role is responsible for managing partnerships with Aetna-Illinois quality vendors and community-based organizations, with the primary focus to improve HEDIS and CAHPS measure performance. This includes analysis of vendor effectiveness, management of vendor/partner lead transmission, oversight of vendor performance reporting strategy, a risk reporting process, leading and managing joint operating committee meetings and project workplans in alignment with vendor contracts and SLAs.

Job Responsibility:

  • Managing partnerships with Aetna-Illinois quality vendors and community-based organizations
  • Analysis of vendor effectiveness
  • Management of vendor/partner lead transmission
  • Oversight of vendor performance reporting strategy
  • Risk reporting process
  • Leading and managing joint operating committee meetings
  • Project workplans in alignment with vendor contracts and SLAs
  • Developing and implementing comprehensive incentives and rewards strategy for members

Requirements:

  • 3 years Vendor Contracting and Performance Management
  • 3 years Managed Care and/or Healthcare Quality Experience
  • 2 years Project Management
  • 1 year experience Member facing or member program
  • Clinical license required
  • Bachelor's degree in nursing or health related field

Nice to have:

  • 2 years HEDIS experience
  • MBA or masters degree in healthcare or finance related field
What we offer:
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • Wellness screenings
  • Tobacco cessation programs
  • Weight management programs
  • Confidential counseling
  • Financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
August 27, 2025

Expiration:
September 05, 2025

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:
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