Manager - Project Management

About this role

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 Specifications
• Oversee calibration of offshore and onshore record review practices, including collaboration on HEDIS measure training, testing, abstraction, and documentation
• Establish and maintain vendor processes for medical record intake, internal workflow alignment, and reporting of results to providers
• Support compliance and privacy-related coordination and negotiations tied to vendor processes, record access, and operational workflows
• Develop, update, and maintain documentation, t...