Maintains healthcare accreditation readiness, coordinates NCQA committees and oversight activities, manages standards-to-owner crosswalks and evidence repositories, tracks corrective actions and gaps, coordinates policy and approval cycles, collaborates with quality and population health stakeholders, and prepares dashboards and executive updates. Supports accreditation surveys, submissions, follow-up requests, and year-round readiness. Requires HEDIS experience, healthcare data analysis, and vendor or business partner management.
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.
Position Summary
- Maintaining the enterprise or market accreditation readiness plan.
- Coordinating the NCQA Steering Committee and its relationship to QMC, QMOC, and other oversight bodies.
- Maintaining committee calendars, charters, membership, agendas, minutes, action plans, approval records, and reporting pathways.
- Monitoring whether committees meet at the required cadence and address required subject matter.
- Managing the standards-to-owner crosswalk.
- Establishing evidence requirements and due dates for each responsible business area.
- Maintaining a controlled evidence repository and version history.
- Coordinating policy, program description, workplan, annual evaluation, and committee approval cycles.
- Tracking gaps identified through readiness reviews, mock surveys, file audits, and internal assessments.
- Escalating overdue evidence, open corrective actions, weak documentation, or unresolved accountability.
- Coordinating with Quality, Population Health, Utilization Management, Credentialing, Compliance, Delegation Oversight, Member Experience, Health Equity, Medical Affairs, and other standard owners.
- Preparing accreditation dashboards and executive readiness updates.
- Supporting the organization during survey preparation, submission, interviews, follow-up requests, and corrective action activity.
- Maintaining year-round readiness following the formal accreditation review.
Required Qualifications
- Minimum of 3 years of experience supporting HEDIS activities, including measure monitoring, gap closure strategies, medical record review, provider engagement, quality improvement initiatives, and performance reporting.
- Demonstrated experience analyzing healthcare, quality, operational, or population health data to identify trends, develop actionable insights, monitor performance metrics, and support strategic decision-making.
- Proven experience managing external vendors, consultants, or business partners, including performance monitoring, issue resolution, contract deliverables, stakeholder communication, and accountability for program outcomes.
Preferred Qualifications:
- Experience leading HEDIS improvement initiatives, collaborating with cross-functional teams to improve measure performance, and supporting NCQA or regulatory reporting activities.
- Experience utilizing Excel, SQL, Power BI, Tableau, or other reporting and analytics tools to create dashboards, perform data validation, and communicate findings to leadership.
- Experience overseeing outreach, quality, population health, care management, or member engagement vendors, including campaign performance evaluation, process improvement, and implementation of corrective action plans.
- Bachelors Degree preferred, or equivalent experience can be considered
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$54,300.00 - $119,340.00This 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 people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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