Senior Manager - Health Care Quality Management NCQA Accreditation

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Job Description
· This position is the overall business lead for NCQA Accreditation and creates the roadmap, project governance, and strategies for the continuous improvement of all department areas.

· The role also reports out to the IHCS Board, leads NCQA Steering, develops ongoing NCQA communications and facilitates discussions and outcomes for applicable NCQA Standards/Factors that require continuous improvement reports.
· This role will manage the NCQA survey application and projects as related to achieving and maintaining multiple Accreditations (HPA, Medicaid Module, LTSS Distinction, HE Accreditation and potentially the Medicare Module in the future).

· This position will collaborate with our NCQA Liaison on changes within Standards/Accreditation tracks (manage the PAT tools for each Accreditation), resurvey timelines and applications and manages the ongoing and high-volume data submission for ongoing NCQA mandates including annual audits, semi-annual reports, program overviews, data analysis, performance metrics and etc.

· This role will provide administrative and compliance support for NCQA Accreditation and will work to ensure the organization understands and is communicated pertinent information and changes related to NCQA standards and accreditation processes.

· **The PMO department typically assigns a Lead PM for NCQA, which will collaborate on any NCQA survey project and align the project charters, plans and PM tools with the overall timelines and deliverables.

· This position will collect and track deliverables and works with operational areas to ensure compliance occurs on an ongoing basis and will lead the IRT load of thousands of documented evidence for re-surveys. This requires coordination between several departments throughout survey and non-survey

Pay Range
The typical pay range for this role is:
Minimum: 75,400
Maximum: 162,700

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
3-5 years experience in Healthcare field

1-2 year of Health plan experience.

1-2 years of experience in NCQA preferred.

1-2 years of experience managing a project from start to end.

Strong communication skills, ability to build relationships, and partner with executives.

Preferred Qualifications
NCQA experience preferred
Masters preferred

Education
Bachelors degree

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.
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