Full Time

Analyst – CVS Remote Jobs

Posted 1 year ago
Texas
$20 - $40 per hour

Job Description

Job Type: Analyst from home
Location: AZ, CO, TX work from home
Company: CVS Health

Responsibilities:

  • Subject Matter Expert (SME) in Healthcare Effectiveness Data and Information Set (HEDIS) improvement work preferred.
  • Interacts with providers and/or members to improve healthcare outcomes such as preventive care adherence.
  • Aids the PE program
  • Participation in workgroups that is active
  • Quality information is delivered to internal and external constituents through written and verbal communication.
  • Actively seeks process improvement opportunities, resulting in more efficient and effective work streams
  • Create an independent work plan for provider outreach and execute deliverables.
  • Supports more complex relationships with internal and external stakeholders.
  • Consults with constituents on business solutions, such as education and process improvement opportunities.
  • HEDIS gaps in care, data feed, and remote medical record collection discussions and education for complex provider partners
  • Collaborate closely with the provider partner to improve Aetna-provider collaboration.
  • Supports HEDIS quality initiatives and regulatory/contractual requirements, including outreach to noncompliant members in the designated outreach services.
  • Supports effective medical record capture for HEDIS medical record review and data abstraction.

Pay Scale

The typical salary range for this position is: Maximum: 40.10 Minimum: 19.50 Maximum: 40.10

Please keep in mind that this range represents the average pay for all positions in the job grade in which this position is located. The actual salary offer will consider a variety of factors, including location.

Requirements:

Qualifications Required

  • Must be a resident of AR, CO, IA, KS, MO, NE, ND, NM, OK, SD, or TX.
  • A minimum of three years of recent and related health care marketing, outreach, and/or health education experience is required.
  • Strong communication skills and prior experience speaking with medical providers are required.
  • Ability to work on one’s own.
  • Knowledge of standard corporate software packages and applications

Qualifications Preferred

  • Recent and relevant experience with HEDIS criteria
  • Prior experience in a medical office or provider education
  • Experience with Medicare Stars or Health Insurance
  • 3 to 5 years of clinical and/or managed care experience in the healthcare industry or quality management is required.

Education: Bachelor’s Degree or Related Experience