Manager of Quality Network Operations

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

The Manager of Quality Network Operations will be responsible for leading the development and implementation of quality improvement initiatives within the OhioRISE Learning Network. This role focuses on enhancing the quality improvement capacity of OhioRISE Stakeholders to improve outcomes for youth served by OhioRISE. The Manager of Quality Network Operations will collaborate with key stakeholders, manage projects, and apply healthcare improvement principles to achieve better outcomes and lower costs for children.

Project Management

Develop and maintain comprehensive project documentation, including project plans, RACI charts, and logs for risks, issues, actions, and decisions.
Facilitate weekly operations team meetings and provide project management support during the transition to the Aetna team.
Organize and lead formal project kick-off meetings, including the development of mission and vision statements and system-level Key Driver Diagrams (KDD).
Conduct stakeholder analysis to understand current CME care management processes and identify areas for improvement.

Quality Improvement Coaching and Support

Support the design and implementation of quality improvement projects, identifying prototypes to test and providing coaching on Plan-Do-Study-Act (PDSA) cycles.
Review performance data and benchmarking to inform project adjustments and improvements.
Develop and deliver training on quality improvement tools and methods to CME sites.

Network Learning Events Coordination

Plan and manage design meetings and learning sessions to engage stakeholders and align on the vision for the Learning Network.
Collaborate with leadership on communications for network events, including the creation of event materials and promotion strategies.
Facilitate learning sessions, ensuring effective engagement and knowledge sharing among participants.

Quality Improvement Capability Building

Introduce quality improvement methodologies and tools to CME sites, assessing their needs and providing tailored training sessions.
Offer ongoing coaching and support to project team leads to enhance their quality improvement capabilities.

Data Analytics and Consultation

Provide coaching on measure selection, operational definitions, data collection, and reporting to support the measurement team.
Assist in the development of an analytic roadmap and guide the standardization of special cause investigation processes.

Required Qualifications

Minimum of 5 years of progressive experience in quality improvement, population health, or care management within the healthcare industry.
Demonstrated experience in managing complex projects and leading cross-functional teams.
Strong understanding of healthcare quality improvement principles and methodologies, particularly in relation to children and adolescents with complex behavioral health needs.

Preferred Qualifications

*Preferred candidate will reside in Ohio.
Knowledge of Ohio’s healthcare landscape.
Familiarity with data analytics and quality measurement in healthcare settings.
Excellent communication and interpersonal skills, with the ability to engage diverse stakeholders effectively.

Education

Master’s degree in related field

Pay Range

The typical pay range for this role is

$67,900.00 - $149,328.00

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. This position also includes an award target in the company’s equity award program.

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 12/08/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.