Senior Quality and Risk Management Analyst- Fully Remote U.S.

Job DescriptionContinuous quality improvement is more than a buzzword - it's how we meet customer needs and control costs. Through Quality and Risk Management, we put industry-leading practices and principles to work in support of our quality objectives and protect our company assets.We are excited to announce this new position in our Senior Supplemental Insurance organization. The successful candidate will play a critical role in developing tools, documenting processes, and implementing audits of our Outsourced Operations.You will be responsible for conducting complex quality management, procedural documentation, and/or special analysis audits and projects. You will also collaborate and execute contractually required audits involving financial penalty and conducts high level risk assessments of all outsourced operations. We will depend on you to utilize quality assurance methodologies to review different aspects of the organization. Some components of this role include but are not limited to: -Developing and maintaining database for Outsourced Operations and collaborates with Vendor Relationship Owners on timely payments, contract renewals, amendment procurement. -Developing, implementing, and overseeing required audits in collaboration with Vendor Relationship Owners. -Identifying risk exposure and recommending solutions to minimize future financial and operational risk exposure. -Developing and designing data collection capability (e.g., customer surveys, focus groups, system reports) and develops appropriate measures. -Analyzing complex data for trends, highlighting in-depth interpretations and providing in-depth root cause analysis. -May consult as a business liaison in new contract development as well as renewals, and enterprise RFP exercises.-Completing Quality Improvement studies as they relate to trends identified via audits. Performing high level risk assessments and presenting to management. -Coaches, training, and mentoring less experienced Quality Specialists.Required Qualifications1-2 Years Proficient with database navigation, data entry, and reportingExcellent MS PP, Word, Excel skillsExcellent written and verbal communication skills Time efficient and highly organizedVigorous attention to detailCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred QualificationsAudit experienceEducationHigh School DiplomaBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.