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Quality Project Manager Medicaid
- CVS Health (Lansing, MI)
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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
*candidate must reside in Michigan*
Position Summary
Helps Quality Team with Implementation of the quality management strategy for all products and services that meets business objectives. Provides strategic oversight for health care quality Performance Improvement
Projects (PIPs) and initiatives aligned with all business lines and projects with organizational strategies and values.
Responsibilities:
+ Prioritizes and makes recommendations for the design, development, and implementation strategy of quality improvement projects, and initiatives.
+ Leads all Performance Improvement workgroups, data collection, monitors status of initiatives/programs and completes State/HSAG PIP templates for submission.
+ Assists Senior Quality Manager and Director with coordination and implementation of interventions to increase HEDIS, CAHPS, AAA, P4P Metric improvement projects and designated health measures for the Plan.
+ Develops documentation templates and systems to support and monitor QM projects and initiatives.
+ Support the coordination of corporate compliance and external surveys as needed.
+ Support the project life cycle including requirements gathering, creation of project plans and schedules, manage resources, MDHHS compliance projects, and facilitate project execution, deployment, and closure.
+ Assists with coordination of data requests and ongoing data management for PIP and QI project management.
+ Participate in vendor oversight meetings with contracted vendors.
+ Assists with leading cross functional teams to assist business units in integrating quality into their strategic and operational plans.
+ Provides updates to Director and leadership on assigned projects in the Quality Improvement work plan; may be required to draft presentations on project status and/or outcomes.
Required Qualifications
+ 5+ years clinical and/or managed care experience in the healthcare industry and quality management preferred.
+ 3-5 years of Project Management experience.
Preferred Qualifications
+ Certified Professional in Healthcare Quality (CPHQ) preferred.
+ Lean Six Sigma Green or Black Belt
+ Professional Project Management Certification
+ Proficient with Project Management tools and tracking systems
+ Adept at collaboration, execution and delivery
Education
Bachelor's degree preferred/specialized training/relevant professional qualification.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$60,300.00 - $132,600.00
This 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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 01/09/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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