Quality Management Nurse Consultant
Core
Applies clinical and quality improvement expertise to analyze workflows, implement evidence-based interventions, and drive performance initiatives to achieve HEDIS and CAHPS goals for CVS Health.
Role type
Senior Quality Management Nurse Consultant (Clinical Quality & Performance Improvement)
Builds
Quality improvement programs, performance measurement systems, and policy guidelines for healthcare services.
Domain
Healthcare / Managed Care Quality / Performance Improvement
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
HEDIS and STARs measures expertise, clinical quality management, quantitative and qualitative data analytics, regulatory and accreditation standards knowledge, evidence-based intervention design, stakeholder facilitation, policy development, training and education delivery.
Preferred skills
Master's degree in healthcare, Certified Professional in Healthcare Quality (CPHQ) certification.
Technologies
HEDIS, STARs, CAHPS
Responsibilities
Develop and implement quality improvement programs to monitor and improve healthcare services; analyze organizational systems and performance against regulatory standards; drive evidence-based interventions to reduce care variations; manage workplans for POSC workgroups; contribute to policy and guideline development; provide training on performance metrics; collaborate with stakeholders to evaluate best practice interventions.
Seniority
Senior, hands-on IC
