Quality Management Nurse Consultant - Pennsylvania

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
Plans, monitors, and manages internal projects from initiation through timely completion to meet business objectives and increase performance. Works with internal staff across multiple departments to identify data sources, processes and activities required to meet state regulatory compliance requirements or meet the objectives of the Quality Management (QM) program.  Using innovation, integration and information, links the quality management activities to business goals.

Required Qualifications

• Licensed Registered Nurse (RN) with an unrestricted license.
• Minimum of 3 years of quality management care experience.
• Must be willing and able to travel in-state up to 10%; with possibility of out of state travel for meetings, up to 5%. Mileage and travel expense is reimbursed per our company expense reimbursement policy.
• Strong knowledge of NCQA standards and requirements
• Exceptional verbal/written/presentation communication skills
• Demonstrated ability to plan, organize, and execute multiple projects with overlapping deliverables
• Proficient in workplace applications and collaboration tools (e.g., Microsoft 365, cloud-based document management, virtual communication/collaboration, and project platforms) with the ability to leverage tools to optimize work processes

Preferred Qualifications

• Attention to detail, accuracy and overall quality of reports
• Adept at problem solving and decision- making skills
• Strong collaboration and teamwork skills
• Adaptability and Time Management skills including, but not limited to:
  • Strong organizational skills
  • Motivational interviewing skills and positive attitude
  • Self-motivated and leadership qualities
• Project Management Certification
• CPHQ Certification
• Ability to analyze and manage large amounts of data

Education

• Associates or diploma nursing degree required
• Bachelor of Science in Nursing preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,522.00 - $129,615.00

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: 08/16/2026

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