Healthcare Quality Management Auditor (Field-Based – Maricopa County, Arizona)

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.

About the role

The Healthcare Quality Management Auditor participates in the development and ongoing implementation of QM (quality management) Work Plan activities. This person will improve quality products and services by using measurement and analysis to process, evaluate, and make recommendations to meet QM objectives.

Responsibilities

• Completes a variety of medical and clinical audits.
• Conducts exit interviews with clinical and leadership staff to review audit results.
• Assists with developing corrective action plans.
• Develops audit tools for all populations.
• Tracks completion of corrective action plans.
• Completes data entry on all audit tools.
• Participates in completing inter rater reliability and scoring guidelines.
• Participates in QM meetings.
• Performs other duties as needed.

Requirements

• 3+ years of experience in behavioral health.
• Must reside in Maricopa County, Arizona.
• Willingness to travel up to 75% of the time within Arizona.

Qualifications

• Bachelor’s degree or equivalent experience (4 years of relevant experience + high school diploma or GED).

Preferred Qualifications

• Strong organizational skills.
• Ability to audit independently.
• Ability to learn quickly and remain adaptable amidst an evolving environment.
• Strong relationship building skills.
• Previous experience in an outpatient behavioral health environment.
• Previous experience working with medical records and/or Electronic Health Records (EHR).

Schedule

• Anticipated weekly hours: 40
• Time type: Full time

Pay

The typical pay range for this role is $43,888.00 - $85,068.00. This pay range represents the 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 also eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Benefits

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
• Other resources, based on eligibility