Senior Quality Manager

11 hours ago


Woodland Hills, California, United States CVS Health Full time
Job Summary

CVS Health is seeking a highly skilled Senior Quality Manager to lead the delivery of quality and compliance efforts, cross-functional reporting, and cultural transformation. This role will be responsible for managing Covered CA quality requirements across quality programs, leading the Enrollee Experience Survey (EES), and providing outreaches/education in focus Exchange markets to support improved health outcomes.

Key Responsibilities
  • Manage disparity reduction plans for Covered California, including baseline disparity identification, root cause analysis, interventions, and strategies.
  • Monitor and report progress annually and establish a quality improvement plan if targets are not met.
  • Partner on annual Covered CA updates to the Health Equity Program Description and Evaluation, assessing the effectiveness of the Health Equity (HE)/Culturally and linguistically appropriate services (CLAS) program activities.
  • Lead the design and implementation of our EES strategy, ensuring we have actions to maximize results in our focus areas and improve survey participation.
Requirements
  • 7+ years of clinical quality work experience
  • 3+ years' experience working with Regulatory Agencies, including CA
  • 5 years background in healthcare strategy and planning experience
  • 5+ years provider or member outreach experience
  • 1 year+ Project Management experience
  • 3 years' experience leading strategic initiatives
  • Strong communication skills
  • Critical thinking skills
Preferred Qualifications
  • Registered Nurse
  • 2 years experience working with Medicaid or Exchange Contract Requirements
What We Offer

CVS Health offers a competitive salary, comprehensive benefits package, and opportunities for professional growth and development. We are an equal opportunity employer and welcome applications from diverse candidates.



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