Healthcare Quality Manager- Remote U.s.

The Aetna Medicare Healthy Outcomes Team conducts outreaches to our Medicare members to inspire and encourage healthy behaviors through innovative, compassionate, and empathetic telephonic communications. The goal of each outreach is to ensure that every member has a clear understanding of the available benefits that are afforded to them under their Medicare plan. The Manager of Healthcare Quality manages a team of quality staff who conduct regular reviews to ensure our members have the best experience and that our teams perform at the highest quality level possible.

Essential Functions:

• Prepare quality documentation and reports by collecting, analyzing and summarizing information and trends
• Effectively identify staff and program trends and issues, offer solutions, hold individuals accountable, recognize/reward as appropriate, communication information from management to team and between peers and business partners
• Supervise day to day operations including workloads, quality outcomes, and training to create and maintain a high performing team
• Achieve quality operational objectives by monitoring, reviewing and enforcing policies and procedures and contributing to information analysis
• Create and implement quality standards
• Train and motivate colleagues to ensure quality standards are consistently met
• Problem solve and think critically to meet staff needs
• Thrive in a fast-paced environment
• Work/Communicate effectively with all levels of management
• Participate and lead in change efforts and departmental projects
• Maintain staff and member confidentiality
• Demonstrate Heart at Work behaviors in all aspects of the role

Pay Range
The typical pay range for this role is:
Minimum: 60,300
Maximum: 130,000

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.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit

jobs.CVSHealth.com/benefits

Required Qualifications
3+ years health insurance managed care experience
2+ years working knowledge of Medicare STARS, member experience and clinical measures

• Experience mentoring and leading others
• Call center environment experience
• Excellent customer service skills
• Excellent data analyzing and review skills with attention to detail
• Strong technical and computer skills
• Ability to teach and mentor

REMOTE U.S.

Preferred Qualifications

• Quality Management experience
• Bachelor’s degree or equivalent experience
• Medicare experience
• Project management skills/experience

Education
High School Diploma

Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.