Quality & Compliance, Quality Management Nurse Consultant

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.

This role is responsible for managing partnerships with Aetna-Illinois quality vendors and community-based organizations, with the primary focus to improve HEDIS and CAHPS measure performance. This includes analysis of vendor effectiveness, management of vendor / partner lead transmission, oversight of vendor performance reporting strategy, a risk reporting process, leading and managing joint operating committee meetings and project workplans in alignment with vendor contracts and SLAs.

This role is also responsible for developing and implementing a comprehensive incentives and rewards strategy for members, supported by a robust monitoring and governance structure to assess understanding and effectiveness. The strategy includes developing key performance indicators to assess the effectiveness and desired outcomes of the member incentives and rewards program, while providing monthly reporting to committees and other agencies. Without this role, these activities would be divided among team members without having the consistency and focus that this role provides.