Health Care Quality Management Specialist – Remote – Must Reside in FL

Lifelancer

. Implement a quality management strategy meeting internal and external constituent expectations for demonstrating quality outcomes, including NCQA and state regulators for Medicaid and CHIP .

Posted 9/15/2026full-timeRemote • Florida • United StatesMid-LevelSenior💰 $43,888 - $85,068 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Quality Management strategies, including NCQA accreditation and performance improvement projects, while effectively analyzing data to support operational targets and quality outcomes in managed care settings.

Highest-signal resume keywords

Quality Management Strategy ImplementationNCQA Accreditation SupportPerformance Improvement Projects (PIPs)Quantitative and Qualitative Data AnalysisMicrosoft Excel Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality ManagementData AnalysisPerformance ImprovementQuality Program EvaluationAccreditation SupportBusiness Information DisseminationQuality Contract RequirementsQuality Management Work PlansOperational Target AchievementDocument Preparation

Soft Skills

Analytical AbilityCommunication Skills

Tools & Technologies

Microsoft Office SuiteMicrosoft ExcelMicrosoft PowerPoint

Industry Keywords

Managed Care QualityMedicaidCHIPQuality OutcomesStakeholder Engagement

About the role

Key responsibilities & impact

Implement a quality management strategy meeting internal and external constituent expectations for demonstrating quality outcomes, including NCQA and state regulators for Medicaid and CHIP
Link quality management activities to business goals using innovation, integration, and information
Participate in development and ongoing implementation of Quality Management work plans and activities
Support accreditation for health plan, health outcomes, and long term supports and services
Support quality contract requirements, including performance improvement projects, analysis of quality improvement activities, and quality program evaluation
Assist in development and implementation of Quality Management projects and activities
Convert data-analysis results into meaningful business information and disseminate conclusions about departmental function
Support execution and reporting of quality committees
Perform quantitative and qualitative data analysis to achieve operational targets
Prepare Quality Management documents adhering to business requirements

Requirements

What you’ll need

Must reside in Florida or be willing to relocate to Florida within 3 to 4 months of the start date
Minimum 3 years experience in managed care quality and/or provider quality
Experience leading or supporting performance improvement projects (PIPs) and/or NCQA accreditation
Proficiency in all Microsoft Office Suite, especially Microsoft Excel and PowerPoint
Analytical ability and ability to interpret data
Ability to communicate to multiple internal and external stakeholders
Bachelor’s degree or equivalent work experience in managed care quality

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
Relocation assistance is not provided