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.
The Project Manager is responsible for planning, supervising, and managing multiple large and complex projects in collaboration with project team members and stakeholders. In addition, this role will serve as a key coordinator and project lead for NCQA Accreditation, credentialing, quality program governance, and regulatory readiness activities. The position will partner with business owners and subject matter experts to ensure accreditation deliverables, documentation, timelines, and survey readiness activities are completed accurately and on schedule. The Project Manager will drive accountability across operational teams and maintain enterprise-level project plans supporting accreditation, compliance, quality improvement, and strategic initiatives.
Key Responsibilities
Lead NCQA Accreditation project management activities, including workplan development, milestone tracking, risk management, document collection, and stakeholder coordination.
Coordinate accreditation readiness activities across Quality Management, Medical Management, Provider Services, Member Services, Operations, Compliance, and other functional areas.
Establish governance structures, project timelines, status reporting, and executive-level communications for accreditation and regulatory initiatives.
Monitor accreditation standards and requirements and partner with business owners to ensure ongoing compliance.
Facilitate accreditation workgroups, steering committees, and readiness reviews to identify risks, barriers, and corrective actions.
Manage document repositories, evidence collection processes, policies, procedures, and supporting materials required for accreditation submissions and surveys.
Track and report accreditation readiness metrics, action plans, and remediation efforts to leadership.
Support state regulatory audits, quality program evaluations, and external review activities as assigned.
Partner with Quality leadership to ensure alignment between accreditation requirements and organizational quality strategy.
Lead post-survey action planning and continuous improvement initiatives resulting from accreditation and regulatory findings.
Required Qualifications
Minimum of 3 years' experience in Project Management with the ability to manage multiple projects simultaneously.
Strong leadership skills and proven ability to facilitate cross-functional teams.
Excellent written and verbal communication skills.
5+ Years experience working in managed care.
Proficiency in Excel and other Microsoft software/tools.
Experience leading complex cross-functional projects using formal project management methodologies.
Experience managing regulatory, compliance, accreditation, or healthcare quality initiatives.
Knowledge of NCQA standards, accreditation processes, and healthcare quality improvement principles.
Demonstrated ability to coordinate multiple stakeholders and drive accountability for deliverables.
Preferred Qualifications
Experience supporting health plan accreditation, survey readiness, or regulatory compliance activities.
PMP, Lean, Six Sigma, or related project management certification
Experience within Medicaid managed care and healthcare quality operations preferred.
Knowledge of HEDIS, Quality Management programs, population health, delegated oversight, and performance improvement initiatives.
Strong background in analyzing data.
Strong background in population health.
Education
Bachelors degree preferred
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$54,300.00 - $145,860.00This 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.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Job details are sourced from the employer's original posting.
Open job postingAbout the company
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come. Excellent benefits package, including 401k, tuition, licensure and certification reimbursement. We promote healthy & wellness lifestyles and offer specialty programs here at Aetna. We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence. Together we will empower people to live healthier lives. Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities. We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.