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Health Care Quality Project Management (IC) - Aetna Better Health of Florida

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.*This is a fully remote position open only to candidates who currently reside in Florida.Position SummaryThe HEDIS Manager is an individual contributor accountable for Healthcare Effectiveness Data and Information Set (HEDIS) healthcare quality projects and initiatives. This role provides leadership through influence, strategic direction, and subject matter expertise rather than direct people management. Responsibilities include assimilating information to proactively develop quality activities aligned with program goals and objectives; linking quality management activities to business goals; building strong internal and external business relationships; and serving as a resource and subject matter expert to develop and influence business strategies.Core Components<ul><li>Responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with company strategy, commitments, and goals</li><li>Leads and manages annual HEDIS process within plan</li><li>Serves as subject matter expert to enterprise team</li><li>Identifies, develops, and improves processes, procedures, and operations, conducts analysis, leads cross functional teams, and schedules, develops, and implements initiatives to strategically improve project processes</li><li>Secures and coordinates resources, temporary staff, space and equipment, and system requirements</li><li>Evaluates and monitors performance and efficiency of programs to ensure that implementation meets targeted timelines</li><li>Support creation of improvement activities based on HEDIS results and analysis</li><li>Indirectly helps to lead the HEDIS outreach team to operationalize all HEDIS outreach activities</li><li>Synthesizes performance data, prepares presentation materials, and presents comparative complex reports to local and enterprise quality committees</li><li>Builds relationships with internal and external customers</li></ul>Required Qualifications<ul><li>Florida resident</li><li>5-7 years relevant work experience</li><li>Minimum of 3 years of direct HEDIS experience</li><li>5 years experience involving use and analyses of health care data</li><li>Minimum of 3 years provider, managed care</li></ul>Preferred Qualifications<ul><li>3 years managed care experience</li><li>3 years HEDIS supervision & management of HEDIS project</li></ul>Education and Certification Requirements<ul><li>Bachelor's degree or equivalent experience*</li><li>Master's degree preferred</li></ul>*Equivalent years of experience defined by CVS Policy: If candidate has associate’s degree, additional 4 years of experience is needed. If candidate has bachelor’s degree, an additional 2 years of experience is required.Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$60,300.00 - $132,600.00This 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on <a target="_blank" href="https://learn.bswift.com/cvshealth-mainland">Benefits Moments</a>. We anticipate the application window for this opening will close on: 07/24/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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