Manager – Healthcare Quality, Project Management

CVS Health

. Lead behavioral health population health initiatives for Louisiana Medicaid members .

Posted 10/8/2026full-timeRemote • Louisiana • United StatesMid-LevelSenior💰 $54,300 - $119,340 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in leading behavioral health population health initiatives, conducting comprehensive assessments, and developing strategic recommendations to enhance care coordination and health equity. Proficient in project management, data analysis, and stakeholder engagement to drive quality improvement and performance monitoring.

Highest-signal resume keywords

Behavioral Health Population Health InitiativesPerformance Improvement Project ManagementData Analysis and Performance MonitoringQuality Improvement MethodologiesCross-Functional Collaboration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisQuality ImprovementPopulation Health ManagementRoot Cause AnalysisBarrier AnalysisProject ManagementHealthcare Quality AssessmentPerformance MonitoringBehavioral Health IntegrationHealth Equity Strategies

Soft Skills

Executive CommunicationStakeholder EngagementCollaborationStrategic PlanningPresentation Skills

Tools & Technologies

Microsoft Office SuiteCollaboration PlatformsDashboardsScorecardsReporting Documentation

Industry Keywords

Louisiana MedicaidNCQAHIPAAHealthcare AdministrationBehavioral HealthPopulation HealthQuality ImprovementMedicaid Managed CareSocial Drivers of HealthUtilization Patterns

About the role

Key responsibilities & impact

Lead behavioral health population health initiatives for Louisiana Medicaid members
Conduct behavioral health population health assessments to identify priority populations, disparities, gaps in care, social drivers of health, utilization patterns, and improvement opportunities
Analyze claims, quality performance, utilization, member feedback, provider feedback, community data, and population health indicators
Develop, implement, and evaluate behavioral health components of the annual Population Health Management Strategy
Develop strategic recommendations addressing access, engagement, care coordination, quality outcomes, health equity, and behavioral health integration
Lead end-to-end Behavioral Health Performance Improvement Projects, including design, implementation, monitoring, evaluation, and reporting
Maintain project plans, timelines, risk logs, decision logs, evidence repositories, submission calendars, and reporting documentation
Coordinate quarterly, annual, and ad hoc PIP reporting and regulatory submissions
Monitor behavioral health quality measures including FUH, FUM, FUA, HEDIS, state, and organizational measures
Conduct root cause analyses, barrier analyses, and performance gap assessments
Prepare dashboards, scorecards, executive summaries, presentations, and reports
Present findings to leadership, quality committees, provider groups, state stakeholders, and other audiences
Develop provider education, member outreach, and engagement initiatives
Collaborate with community organizations, advocacy groups, healthcare providers, and vendor partners
Integrate health equity and social drivers of health into assessments and interventions
Support Louisiana Medicaid, regulatory, accreditation, NCQA, HIPAA, and organizational quality requirements
Maintain audit-ready documentation and support governance, committee, and strategic planning activities

Requirements

What you’ll need

Bachelor’s degree in Public Health, Population Health, Healthcare Administration, Behavioral Health, Psychology, Counseling, Social Work, Nursing, Health Sciences, Business Administration, Project Management, or a related field
Three or more years of experience in Healthcare Quality, Population Health, Behavioral Health, Medicaid Managed Care, Quality Improvement, Program Management, Project Management, or a related healthcare field
Experience leading complex cross-functional projects involving multiple stakeholders
Experience analyzing healthcare quality, utilization, population health, or clinical performance data
Experience developing and implementing quality improvement or population health interventions
Experience preparing presentations, reports, and recommendations for leadership audiences
Performance Improvement Project (PIP) Management
Quality Improvement Methodologies
Data Analysis and Performance Monitoring
Project Management
Root Cause and Barrier Analysis
Provider and Stakeholder Engagement
Executive Communication and Presentation
Cross-Functional Collaboration
Strategic Planning and Execution
Microsoft Office Suite and Collaboration Platforms

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program in addition to base pay
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being