Manager - Healthcare Quality Project Management

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

The Project Manager is responsible for planning, supervising, and managing multiple large and complex projects in collaboration with project team members and stakeholders. This role requires the delivery of project solutions within defined constraints of scope, quality, time, and cost, utilizing established Project Management methodologies and standards. The Project Manager will provide leadership and maintain robust project management tools and practices for operational, strategic, integration, or transformation projects. Success in this role demands the ability to work in a fast-paced environment, deliver high-quality solutions, and function as an integral member of a cohesive team. Exceptional skills in collaborating with executives and physician teams are essential, and a strong background in population health is preferred.

Key Responsibilities

Lead proposal efforts, including project scoping, prioritization, and identification of all stakeholders. Determine the scope and size of each project, along with stakeholder requirements for every stage or aspect. Develop and manage scope change control processes. Complete project charters and obtain necessary approvals from all stakeholders. Identify and manage risks associated with projects, implementing strategies to mitigate those risks. Enforce project standards across teams and perform project reviews, including quality assurance and risk assessments. Recommend appropriate courses of action for project issues or concerns, implement mitigation plans, and escalate risks as needed. Build cohesive project plans by engaging input from others to define tasks and estimate the duration of all related activities. Create and execute project plans, revising them through formal change control when appropriate. Establish and oversee project expenditures and budgets. Collaborate with financial stakeholders to ensure projects remain within financial and regulatory guidelines. Plan, direct, and coordinate project activities, manage resources, and sequence activities to ensure objectives are achieved within project timeframes. Maintain project focus by reordering tasks, shifting priorities, engaging resources, or otherwise managing unexpected occurrences. Apply change control skills and manage to the expectations of end-users and management. Manage systems and operational issues related to security, privacy, and stability, working with relevant departments to address these matters appropriately. Participate in measurement activities required to report on project effectiveness, value capture, or other outcomes and success metrics as necessary. Demonstrate effective mediation, negotiation, communication, and presentation skills. Use professional expertise and training to promote decision-making and facilitate issue resolution. Communicate relevant project information across the organization, including presentations to senior leadership. Communicate effectively with physicians, executives, managers, clinical teams, and other staff by analyzing user needs, applying logical reasoning, defining system requirements, and developing documentation. Perform project closeout activities, including conducting Lessons Learned sessions. Perform other duties and projects as assigned.

Required Qualifications

• Minimum of 5 years of experience leading complex projects in a healthcare, managed care, quality improvement, population health
• Ability to lead and influence cross-functional teams
• Strong project management skills, including experience developing project plans, facilitating meetings, tracking milestones, managing risks, and driving accountability for results.
• Exceptional written and verbal communication skills with experience presenting information, preparing executive-level summaries, and communicating effectively with diverse stakeholder groups.
• Experience analyzing operational or healthcare-related data to identify trends, support decision-making, and develop actionable recommendations.
• Proficiency in Microsoft Office Suite, including advanced Excel skills such as pivot tables, data analysis, reporting, and dashboard development; experience with PowerPoint, Word, and SharePoint required.
• Experience working within managed care
• Bachelor's degree

Preferred Qualifications

• Minimum 3 years experience supporting quality improvement, HEDIS, accreditation, regulatory compliance, value-based care, or population health initiatives within a health plan or healthcare organization.

…