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Quality Specialist

$18.5 - $38.82 per hour

CVS Health

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Complete assigned audits – calls or PGs for Specialty Pharmacy and records in the appropriate database (i.e., Verint, ProNet, MS Teams). Collects and analyzes data related to healthcare quality measures, patient outcomes, and key performance indicators, in order to ensure work area targets and objectives are being consistently met. Contributes to the implementation and maintenance of quality assurance programs in compliance with regulatory requirements and industry standards. Assists in the development and review of quality protocols, policies, and procedures, escalating any issues or concerns to management for review and resolution. Compiles and maintains records of quality metrics, performance indicators, and improvement initiatives, also providing summarization reports to capsulize progress against key goals and targets. Conducts basic audits and assessments to evaluate adherence to quality standards and identify areas for improvement. Communicates quality goals, strategies, and progress internally through meetings, presentations, and regular updates. Coordinates with cross-functional teams to develop and implement comprehensive quality improvement projects and programs. Carries out quality improvement initiatives aimed at enhancing healthcare processes, patient safety, and clinical outcomes. Assists in providing education and guidance to staff members on quality standards, regulatory requirements, and performance improvement methodologies. Role is Remote, but must live within 75 miles of a Specialty Pharmacy to qualify Monroeville, PA Orlando, FL Tampa, FL Raleigh, NC Fairfield, NJ Troy, MI Flower Mound, TX Required Qualifications

  1. years of SPRx
  2. years of Data interpretation and analysis experience
Preferred Qualifications Basic awareness of problem solving and decision-making skills Microsoft Excel, Word, PowerPoint Program application such as Verint Five9 and ProNet Bilingual: Spanish Speaking Education High School Diploma and/or Equivalent experience Anticipated Weekly Hours 40 Time Type Full time Pay Range $18.50 - $38.82 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Benefits Great Benefits For Great People We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. We anticipate the application window for this opening will close on: 06/28/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr CVS Health

Vacancy posted 1 day ago
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