Manager - 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 This position supports key initiatives within HEDIS Outcomes by leading vendor-supported operations, medical record abstraction processes, cross-functional projects, and quality-focused implementations tied to HEDIS measures and technical specifications. This role is responsible for coordinating operational workflows, supporting data integrity, overseeing medical record uploads, managing vendor and repository relationships, and partnering across markets and business teams to drive successful execution. The ideal candidate brings strong HEDIS measure experience and knowledge, as well as vendor experience, along with the ability to manage complex operational processes, collaborate across internal and external stakeholders, and support project execution in a fast-paced, highly regulated environment. Key Responsibilities Manage third-party vendor operations, monitoring compliance with all aspects of the SOW, supporting medical record abstraction, quality review, and special projects aligned with the NCQA Technical SpecificationsOversee calibration of offshore and onshore record review practices, including collaboration on HEDIS measure training, testing, abstraction, and documentationEstablish and maintain vendor processes for medical record intake, internal workflow alignment, and reporting of results to providersSupport compliance and privacy-related coordination and negotiations tied to vendor processes, record access, and operational workflowsDevelop, update, and maintain documentation, training guides, and standard operating procedures for internal teams and business partnersMonitor compliance with all aspects of the vendor SOW, intake and abstraction analytics, and regular reporting and leadership updatesPartner with the Vendor Management Organization to support and review Statements of Work, Requests for Proposal, staffing models, accounting considerations, and long-range workload forecasting aligned with HEDIS business needsCoordinate staffing-related activities tied to offshore operations, including onboarding review, background check processes, Workday profile setup and updates, and staff transfersPartner closely with Quality Management teams, Stars market partners, Engagement Managers, RN/PM specialists, and other business stakeholders to support audit readiness, research requests, special project management, and successful outcomes across abstraction operations Required Qualifications 3 + years strong HEDIS measure experience and working knowledge of HEDIS technical specifications3 + years’ experience managing HEDIS-related operations, medical record abstraction, quality review, or related healthcare quality initiatives2 + year’s vendor management experience or equivalentDemonstrated ability to analyze information, support reporting, and monitor data integrityStrong organizational skills with the ability to manage multiple priorities in a fast-paced environmentExperience working across internal and external stakeholders to support operational execution and process improvementStrong written and verbal communication skillsProficiency in Microsoft Office applications, including Excel, PowerPoint, and WordAbility to work EST due to areas covered Preferred Qualifications Project management experience in a vendor, healthcare, quality, or operational environmentExperience leading cross-functional projects involving vendors, data processes, and operational implementationExperience working with medical record exchange technologies, repository vendors, or regulated data workflowsPMP certification or formal project management training preferred Education Bachelor’s Degree or Equivalent Anticipated Weekly Hours 40 Time Type Full time Pay Range The Typical Pay Range For This Role Is $60,300.00 - $132,600.00 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. 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. 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. We anticipate the application window for this opening will close on: 09/18/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.