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Hlthcare QM Sr Consultant

Company: CVS Health
Location: Columbus
Posted on: November 23, 2021

Job Description:

Job Description Provider Engagement Consultants will work with internal staff across multiple departments to identify data sources, processes and activities required to meet regulatory and accreditation requirements or meet the objectives of the QM program. * Conducts outreach with complex provider partners to share information to improve health outcomes. * Takes a role in the development and implementation of QM projects and activities. * May require assistance in budget development and staff supervision) * Delivers Quality information to internal and external constituents via written and verbal communication * May support training of new QM staff regarding program description, work plan and evaluation activities * Actively seeks opportunities for process improvement resulting in efficient and effective work streams * Independently map out provider outreach work plan and execute deliverables * Supports more complex relationships with both internal and external constituents * Consults with constituents on solutions to business issues including education and process improvement opportunities. * Support complex provider partners with HEDIS gaps in care, data feed, and remote medical record collection discussions and education. * Work closely with the provider partner to enhance collaboration between provider and Aetna. * Independently conduct measure research during HEDIS medical record project. Required Qualifications 3+ years experience in healthcare or managed care quality management * Prior provider Engagement or provider relations experience * Excellent presentation and public speaking * Experience analyzing reports * Experience Coaching/delivering feedback COVID Requirements COVID-19 Vaccination Requirement CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated. * If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health. * If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated. Preferred Qualifications Training experience strongly encouraged Prior HEDIS experience Prior Stars Education BA or equivalent level working experience in related field Business Overview At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart. We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. 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.

Keywords: CVS Health, Columbus , Hlthcare QM Sr Consultant, Professions , Columbus, Ohio

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