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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing accreditation readiness, including HEDIS activities and quality improvement initiatives. Proficient in analyzing healthcare data and utilizing reporting tools to support strategic decision-making and performance monitoring.
Highest-signal resume keywords
HEDIS Activities SupportHealthcare Data AnalysisAccreditation Readiness ManagementReporting Tools UtilizationCross-Functional Team Collaboration
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Measure MonitoringGap Closure StrategiesMedical Record ReviewQuality Improvement InitiativesPerformance Reporting
Soft Skills
Stakeholder CommunicationIssue ResolutionAccountability
Tools & Technologies
ExcelSQLPower BITableau
Industry Keywords
NCQAPopulation HealthQuality ManagementCare ManagementMember Engagement
Tech Stack
Tools & technologiesSQLTableau
About the role
Key responsibilities & impact- Maintain the enterprise or market accreditation readiness plan
- Coordinate the NCQA Steering Committee and its relationship to QMC, QMOC, and other oversight bodies
- Maintain committee calendars, charters, membership, agendas, minutes, action plans, approval records, and reporting pathways
- Monitor whether committees meet at the required cadence and address required subject matter
- Manage the standards-to-owner crosswalk
- Establish evidence requirements and due dates for each responsible business area
- Maintain a controlled evidence repository and version history
- Coordinate policy, program description, workplan, annual evaluation, and committee approval cycles
- Track gaps identified through readiness reviews, mock surveys, file audits, and internal assessments
- Escalate overdue evidence, open corrective actions, weak documentation, or unresolved accountability
- Coordinate with Quality, Population Health, Utilization Management, Credentialing, Compliance, Delegation Oversight, Member Experience, Health Equity, Medical Affairs, and other standard owners
- Prepare accreditation dashboards and executive readiness updates
- Support the organization during survey preparation, submission, interviews, follow-up requests, and corrective action activity
- Maintain year-round readiness following the formal accreditation review
Requirements
What you’ll need- Minimum of 3 years of experience supporting HEDIS activities, including measure monitoring, gap closure strategies, medical record review, provider engagement, quality improvement initiatives, and performance reporting
- Experience analyzing healthcare, quality, operational, or population health data to identify trends, develop actionable insights, monitor performance metrics, and support strategic decision-making
- Experience managing external vendors, consultants, or business partners, including performance monitoring, issue resolution, contract deliverables, stakeholder communication, and accountability for program outcomes
- Experience leading HEDIS improvement initiatives, collaborating with cross-functional teams to improve measure performance, and supporting NCQA or regulatory reporting activities
- Experience utilizing Excel, SQL, Power BI, Tableau, or other reporting and analytics tools to create dashboards, perform data validation, and communicate findings to leadership
- Experience overseeing outreach, quality, population health, care management, or member engagement vendors, including campaign performance evaluation, process improvement, and implementation of corrective action plans
- Bachelor's degree preferred, or equivalent experience can be considered
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, based on eligibility