- Remote, United States
- Remote
- Full-time · Manager
- $86K–$119K per year
- 3+ years
Lead quality and process improvement initiatives across long‑term care programs, focusing on operational efficiency, compliance, and member outcomes.
Compensation
$86,300 - $118,700 per year
Responsibilities
- Lead process improvement initiatives to improve operational efficiency, service quality, compliance, and member outcomes
- Assess workflows and business processes to identify gaps, risks, root causes, and improvement opportunities
- Lead process mapping, procedure development, action planning, and implementation of sustainable process improvements
- Oversee quality assurance activities and readiness for HEDIS, CAHPS, NCQA accreditation, case file and submission audits, and other regulatory or accreditation requirements
- Analyze quality, compliance, and operational data across 80+ metrics to identify trends and provide actionable insights to leadership
Requirements
- Bachelor's degree
- Nice to have: Certified Professional in Healthcare Quality (CPHQ)
- Nice to have: Project Management Professional (PMP)
- Nice to have: Lean Six Sigma
- Nice to have: Medicare or Medicaid managed care experience