Health Care Quality Management Specialist (Remote-Must Reside in FL)
CVS Health · Slaton, TX
Job description(tap to read)
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 The Health Care Quality Management Analyst implements a quality management strategy that meets internal and external constituent expectations for demonstrating quality outcomes, including NCQA and state regulators for Medicaid and CHIP. Links the quality management activities to business goals by using innovation, integration, and information. Participates in the development and ongoing implementation of Quality Management (QM) work plans and activities, including support of all accreditation activities and contract requirements. What you will do • Support accreditation minimally for health plan, health outcomes, and long term supports and services. • Support quality contract requirements, including performance improvement projects, analysis of quality improvement activities, and quality program evaluation. • Assists in the development and implementation of Quality Management projects and activities. • Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the department. • Support quality committees execution and reporting to quality committees. • Performs quantitative and qualitative data analysis to achieve operational targets. • Prepares Quality Management documents that adhere to the interpretation and application of business requirements. Required Qualifications • Must reside in Florida or be willing to relocate to Florida within 3 to 4 months of the start date. Relocation assistance is not provided. • Minimum 3 years experience in managed care quality and/or provider quality. • Experience leading or supporting performance improvement projects (PIPs) and/or NCQA accreditation. • Must be proficient in all Microsoft office Suite, especially Microsoft Excel and PowerPoint. • Must be analytical and able to interpret data. • Must be articulate and able to communicate to multiple internal and external stakeholders. Preferred Qualifications • Performance Improvement Projects (PIPs) experience. • NCQA accreditation experience. Education • Bachelor's degree or equivalent work experience in managed care quality Anticipated Weekly Hours: 40 Time Type: Full time Pay Range The typical pay range for this role is: $43,888.00 - $85,068.00 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: 09/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr
Position: Remote Benefits Representative Company: American Income Life (a proud member of Globe Life, a publicly traded company on NYSE) Earning Potential: $70,000 – $120,000+ per year (commissions + residual) Work From: Anywhere in the U.S. or Canada About the Opportunity Tired of clocking in, clocking out, and getting nowhere fast? This opportunity was built for those ready to break free from the ordinary. American Income Life empowers driven, self-starting professionals to take control of their income and career. As a Remote Benefits Representative, individuals connect with clients virtually (via Zoom) to help them understand and enroll in benefit programs that protect their families. There's no cold calling, no micromanaging — just meaningful conversations and real impact, all from the comfort of home. Those who are hungry for growth, financial freedom, and a career that truly rewards performance will find this to be the perfect fit. Why Candidates Love Working Here A Culture That Feels Like Family Success is celebrated at every level. Expect a vibrant, supportive environment filled with recognition, giveaways, and virtual team events that make Mondays something to look forward to. Freedom + Flexibility Work from anywhere. Set a schedule that fits your life. Take control of your day — and your paycheck. Real Growth Potential Every leader in the organization began in this same position. Advancement is based on performance, not politics. Financial Rewards That Match Effort Top representatives regularly earn $90K+ annually and advance quickly. Comprehensive Benefits Employees receive access to health plans if qualified through Globe Life, along with voluntary coverage options tailored to individual needs. Key Responsibilities • Meet with families virtually to help them select benefit programs that align with their goals. • Build trust, answer questions, and guide clients through enrollment. • Manage a personal book of business and maintain long-term relationships. • Collaborate with teammates and leadership committed to mutual success. Ideal Candidate Profile • Self-motivated, positive, and eager to grow. • Excellent communicator — friendly, confident, and authentic. • Comfortable using Zoom and other online communication tools. • Must be a U.S. or Canadian citizen. • Passionate about helping others and building meaningful relationships. No prior insurance experience is required — only a strong drive to succeed and a willingness to learn. Full training and mentorship are provided. Application Process Hiring managers are actively reviewing applications. Candidates should apply and watch for communication via text, email, or phone from a hiring representative. Your future doesn't have to look like your past. Take the first step toward freedom — apply today.
Position: Remote Benefits Representative Company: American Income Life (a proud member of Globe Life, a publicly traded company on NYSE) Earning Potential: $70,000 – $120,000+ per year (commissions + residual) Work From: Anywhere in the U.S. or Canada About the Opportunity Tired of clocking in, clocking out, and getting nowhere fast? This opportunity was built for those ready to break free from the ordinary. American Income Life empowers driven, self-starting professionals to take control of their income and career. As a Remote Benefits Representative, individuals connect with clients virtually (via Zoom) to help them understand and enroll in benefit programs that protect their families. There's no cold calling, no micromanaging — just meaningful conversations and real impact, all from the comfort of home. Those who are hungry for growth, financial freedom, and a career that truly rewards performance will find this to be the perfect fit. Why Candidates Love Working Here A Culture That Feels Like Family Success is celebrated at every level. Expect a vibrant, supportive environment filled with recognition, giveaways, and virtual team events that make Mondays something to look forward to. Freedom + Flexibility Work from anywhere. Set a schedule that fits your life. Take control of your day — and your paycheck. Real Growth Potential Every leader in the organization began in this same position. Advancement is based on performance, not politics. Financial Rewards That Match Effort Top representatives regularly earn $90K+ annually and advance quickly. Comprehensive Benefits Employees receive access to health plans if qualified through Globe Life, along with voluntary coverage options tailored to individual needs. Key Responsibilities • Meet with families virtually to help them select benefit programs that align with their goals. • Build trust, answer questions, and guide clients through enrollment. • Manage a personal book of business and maintain long-term relationships. • Collaborate with teammates and leadership committed to mutual success. Ideal Candidate Profile • Self-motivated, positive, and eager to grow. • Excellent communicator — friendly, confident, and authentic. • Comfortable using Zoom and other online communication tools. • Must be a U.S. or Canadian citizen. • Passionate about helping others and building meaningful relationships. No prior insurance experience is required — only a strong drive to succeed and a willingness to learn. Full training and mentorship are provided. Application Process Hiring managers are actively reviewing applications. Candidates should apply and watch for communication via text, email, or phone from a hiring representative. Your future doesn't have to look like your past. Take the first step toward freedom — apply today.
Position: Remote Benefits Representative Company: American Income Life (a proud member of Globe Life, a publicly traded company on NYSE) Earning Potential: $70,000 – $120,000+ per year (commissions + residual) Work From: Anywhere in the U.S. or Canada About the Opportunity Tired of clocking in, clocking out, and getting nowhere fast? This opportunity was built for those ready to break free from the ordinary. American Income Life empowers driven, self-starting professionals to take control of their income and career. As a Remote Benefits Representative, individuals connect with clients virtually (via Zoom) to help them understand and enroll in benefit programs that protect their families. There's no cold calling, no micromanaging — just meaningful conversations and real impact, all from the comfort of home. Those who are hungry for growth, financial freedom, and a career that truly rewards performance will find this to be the perfect fit. Why Candidates Love Working Here A Culture That Feels Like Family Success is celebrated at every level. Expect a vibrant, supportive environment filled with recognition, giveaways, and virtual team events that make Mondays something to look forward to. Freedom + Flexibility Work from anywhere. Set a schedule that fits your life. Take control of your day — and your paycheck. Real Growth Potential Every leader in the organization began in this same position. Advancement is based on performance, not politics. Financial Rewards That Match Effort Top representatives regularly earn $90K+ annually and advance quickly. Comprehensive Benefits Employees receive access to health plans if qualified through Globe Life, along with voluntary coverage options tailored to individual needs. Key Responsibilities • Meet with families virtually to help them select benefit programs that align with their goals. • Build trust, answer questions, and guide clients through enrollment. • Manage a personal book of business and maintain long-term relationships. • Collaborate with teammates and leadership committed to mutual success. Ideal Candidate Profile • Self-motivated, positive, and eager to grow. • Excellent communicator — friendly, confident, and authentic. • Comfortable using Zoom and other online communication tools. • Must be a U.S. or Canadian citizen. • Passionate about helping others and building meaningful relationships. No prior insurance experience is required — only a strong drive to succeed and a willingness to learn. Full training and mentorship are provided. Application Process Hiring managers are actively reviewing applications. Candidates should apply and watch for communication via text, email, or phone from a hiring representative. Your future doesn't have to look like your past. Take the first step toward freedom — apply today.
Telehealth PA or NP - Supporting Military Readiness (Remote) - (11 AM, 12 PM, or 1 PM Start) - Remote
UnitedHealth Group · Derby, KS
Explore opportunities with Logistics Health Incorporated (LHI), part of the Optum family of business. We're dedicated to simplifying the logistics of complex workforce health programswith cost-effective solutions and a seamless distribution process. With offices in La Crosse, Wis., a satellite office in Chicago and remote employees throughout the country, we have a variety of rewarding career opportunities for you. Elevate your career as you help us create a healthier tomorrow for everyone and discover the meaning behind Caring. Connecting. Growing together. The Optum Serve Physician Assistant or Nurse Practitioner provides clinically competent delivery of quality virtual medical care services required during Optum Serve operations. The PA or NP is responsible for providing clinically competent medical care services, within their scope of practice. The PA or NP working remotely on behalf of Optum Serve is responsible for safe patient care and ensuring adherenceto all Optum Serve Policies and Procedures. All PA or NP shall meet the qualifications for their specialty and perform essentially the same functions, within the scope of acceptable standards for their technical professional discipline, as those required by DoD or government service technical professionals of similar experience and in similar duty assignments. This position works in collaboration with other providers as well as other team members of the healthcare team to complete Virtual health assessments in non-traditional healthcare settings. This provider is responsible for virtual patient triage, assessments, and referrals of all presenting patients to Optum Serve Telehealth. Seeking to hire PAs or NPs who reside or hold licensure in the following states with ability to obtain multiple state licenses per regional assignment: KS, OR, AR, AK, IA, ME, KY, CT, NH, WV, DE, MT, ID, SD, NM, RI, ND, VT, WY, WY, NE Essential Functions Include: This role is entirely remote and requires working in a non-traditional clinical setting. It is also (virtually) customer-facing with high expectations for operational excellence. The noise level is moderate and there is no risk of exposure to infectious diseases and blood-borne pathogens. Hours may vary based on location, patient volume, and business needs. This list of essential functions is not exhaustive and may be supplemented and changed as necessary. • Excellent critical thinking, problem solving, verbal and written communication skills, in addition to patience and a high-level of customer service to all patients and fellow staff • Always acts professionally with minimal supervision as a representative of Optum Serve • Possesses strong organizational skills and the ability to prioritize, solve moderately complex problems while working both independently and collaboratively with others • Maintains compliance with Optum Serve and Federal, State, and Local regulatory, contractual, and organizational guidelines including HIPAA as outlined in training and policies/procedures, quality assurance and improvement processes • Organizes workload, sets priorities, completes assignments in a timely manner and utilizes resources appropriately while complying with organizational standards • Dedicated to building rapport with team members, internal and external customers, and management team by demonstrating a strong customer service orientation and a continuous positive image of Optum Serve • Is punctual for work attendance and abide by work schedule • Practices within mandated scope of licensure/certification • Provide excellent patient care within the scope of PA or NP credentialed privileges • Analyze and interpret histories, symptoms, physical findings, and diagnostic information • Maintain complete and detailed records of patients' plans of care, documenting care within an appropriate time frame • Conduct virtual medical assessment • Ensure appropriate follow-ups for all referrals • Ensure patient assessments are being carried out as per site guidelines • Manage new medical problems and appropriate follow-up on any ongoing medical problems • Perform other duties as assigned by Leadership • Apply proper patient identification practice and HIPPA compliance • Provide virtual support in emergent situations to patients who have medical needs while waiting for emergency response team • Remain up to date on all contract requirements • This list of essential functions is not exhaustive and may be supplemented and changed as necessary Emergency Response: • Responsible for assessment of patient's emergent needs in a nontraditional setting • Attune assessment and critical thinking skills to ensure appropriate care can be delivered safely and within the scope of capabilities of the available resources • Skilled in emergency response Shift Expectations: • There will be 3 shift options: 11 am CST, 12 noon CST or 1 pm CST start • Each shift will be 8.5 hours and include two 15 minute breaks and one 30 minute lunch break • All shifts must work one weekend rotation per month with the choice of a weekday off that week Mental Demands: Reading, writing, attention to detail, confidentiality, problem-solving, ad hoc decision-making skills, math skills, reasoning skills, oral communication, written communication, customer contact, multiple concurrent tasks, stress management skills, interpersonal skills, ability to work independently with minimal supervision. Physical Demands: Handling (holding, grasping, turning, or otherwise working with the hand or hands), fingering (picking, pinching, fine manipulation), sitting, standing and speaking for long periods of time, and walking. Seeing and hearing alarms and settings responding according to training and procedures. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Degree from an accredited university in a Physician Assistant Program or Master's Degree from an accredited university in a Nurse Practitioner program • Valid and unrestricted professional PA or NP license in the state which you reside • Ability to apply for 10+ additional assigned state licensures within 2 weeks of hire date • Collaborative physician agreement if applicable based on state scope of practice regulations • 1+ years as a PA or NP in a clinical environment including oversight of ancillary and clinical staff and caring for adults • Experience conducting assessments on wide variety of acute/chronic conditions • Proven experience utilizing electronic health record (EHR) platforms to document, review, and manage patient information • Ability to work one or more of the listed schedule requirements including one weekend rotation per month Preferred Qualifications: • 2+ years clinical experience in a health care delivery system • VA and/or military experience • Experience working in a Virtual setting • Experience working in a call center environment, handling a high volume of calls and performing repetitive tasks while maintaining quality and productivity standards • Familiarity with government forms and documentation • Proven leadership experience including the ability to supervise, coach and develop staff using excellent interpersonal and communication skills • Has multiple licensures preferably in one or more of the following states with ability to obtain multiple state licenses per regional assignment: KS, OR, AR, AK, IA, ME, KY, CT, NH, WV, DE, MT, ID, SD, NM, RI, ND, VT, WY, WY, NE • Excellent written and verbal communication skills • Excellent social and therapeutic communications skills • Excellent interpersonal and problem-solving skills • Excellent computer skills in Microsoft Office and database experience *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Compensation for this specialty generally ranges from $113,000 - $173,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.