Drimva

CVS Health

Quality Management Nurse Consultant

$61K–$130K

TX - Work from home +23 · Remote · Full-time · Posted Oct 27, 2026

Location
TX - Work from home
Work At Home-Mississippi
Work At Home-Ohio
Work At Home-Georgia
Work At Home-Oklahoma
Work At Home-West Virginia
Work At Home-Minnesota
Work At Home-Massachusetts
Work At Home-Alabama
Work At Home-South Carolina
Work At Home-Iowa
Work At Home-Missouri
Work At Home-Michigan
Work At Home-Virginia
Work At Home-New York
Work At Home-Illinois
Work At Home-North Carolina
Work At Home-Florida
Work At Home-Indiana
Work At Home-Pennsylvania
Work At Home-New Jersey
Work At Home-Louisiana
Work At Home-Kentucky
Work At Home-Tennessee
Experience
5-7 years of prior relevant work experience in clinical, case management, administrative, quality/compliance, or HEDIS performance-based roles.
Education
BSN required; Master’s degree in healthcare related field preferred.

About the job

Leads quality improvement initiatives that evaluate healthcare performance, support HEDIS and CAHPS goals, and improve clinical outcomes and regulatory compliance.

What you'll do

  • Develop and evaluate quality improvement programs, interventions, and performance measures.
  • Coordinate POSC workplans, prepare materials, and facilitate workgroups and committees.
  • Educate stakeholders on HEDIS and CAHPS performance and collaborate on quality initiatives.

What they ask for

  • Registered Nurse (RN) required.
  • BSN required.
  • In-depth knowledge of managed care quality, HEDIS, STARs measures, and performance initiatives.
  • Strong analytical, communication, presentation, and technical writing skills.

Nice to have

  • Master’s degree in healthcare related field.
  • Certified Professional in Healthcare Quality (CPHQ).

Pay

$60,522.00 - $129,615.00 USD base salary

Tools

HEDIS, CAHPS, STARs

Model-written summary · the original posting is authoritative

First seen Oct 28, 2026 · Last verified Nov 6, 2026 (UTC)