Top 47513 Director Quality/Process Improvement Jobs

Director, Quality & Process Improvement, HEDIS Audit
Centene —Remote
- $118,400 - $219,000 a year
- Full-time
- Remote
- Background check
- 6 years
- Bachelor's degree
- Paid holidays
- Health insurance
Director - Business Process Improvement
US Anesthesia Partners, Inc. —Remote
- Full-time
- 7 years
- HIPAA
- Finance
Director Quality and Process Improvement
Goodwill Greater Milwaukee & Chicago —Great Lakes, IL
- $107,150 - $160,725 a year
- Full-time
- 5 years
- Bachelor's degree
- Mentoring
- Disability insurance
- Health insurance
Quick Apply
Respiratory Therapist Lead
Northfield Hospital & Clinics —Northfield, MN
- $39.48 - $55.73 an hour
- 8 hour shift
- Management
- PALS Certification
- Hospital
- Free parking
- AD&D insurance
Quick Apply
PACE Medical Director, Jordan Valley Senior Care
Jordan Valley Health —Springfield, MO
- Full-time
- Medicine
- Current TB test
- Computer literacy
- Health savings account
- AD&D insurance
Quick Apply
Director of Nursing (DON)
Sleepy Eye Rehabilitation Center —Sleepy Eye, MN
- $95,000 - $105,000 a year
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Health insurance
- Paid time off
Quick Apply
Clinical Director
Acorn Health —East Grand Rapids, MI
- $85,000 - $114,000 a year
- Background check
- Writing skills
- English
- Continuing education credits
- Paid holidays
Quick Apply
12d
RN Facility Administrator
DAVITA —Jacksonville, IL
- $74,000 - $118,000 a year
- Full-time
- CPR Certification
- Nursing
- Microsoft Outlook
- Paid training
- Health insurance
Advanced Practice Practitioner Manager (NP/PA)
Mercy Health | GoHealth Urgent Care —St. Louis, MO
- Full-time
- Customer service
- BLS Certification
- ACLS Certification
Quick Apply
Foreman - HVAC
Shapiro & Duncan —Rockville, MD
- $32 - $55 an hour
- Weekends as needed
- Construction site
- English
- High school diploma or GED
Quick Apply
Medical Laboratory Scientist or Technician
St. Charles Health System —Redmond, OR
- $29.37 - $55.49 an hour
- Part-time
- Doctoral degree
- Customer service
- Mid-level
Director of Nursing (DON/RN)
Naphcare, Inc. —Rawlins, WY
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid holidays
- Health insurance
Physician - (Optometrist/Ophthalmologist)
FETTER HEALTH CARE NETWORK INC —Summerville, SC
- Full-time
- Medicine
- Microsoft Outlook
- 5 years
- Employee discount
Quick Apply
Staff RN - Behavioral Health / Emergency - Part Time / Days
Children's Nebraska —Omaha, NE
- Part-time
- Nursing
- Medication administration
- Patient monitoring
Staff RN - Experienced Bedside Behavioral Health / Emergency - Full time/Nights
Children's Nebraska —Omaha, NE
- Weekends as needed
- Nursing
- Medication administration
- RN License
Chief Medical Officer (CMO)
South Sound Behavioral Hospital —Lacey, WA
- $280,000 - $350,000 a year
- Full-time
- Medicine
- Psychiatry
- Inpatient
- Free parking
- Paid holidays
Quick Apply
GIP Medical Director Hospitalist
Affinity Hospice Management LLC —Des Moines, IA
- Full-time
- Medicine
- Organizational skills
- Hospice
Quick Apply
Assistant Director of Nursing (RN)
Interim HealthCare of the Black Hills —Rapid City, SD
- $75,000 - $88,000 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- 401(k)
Quick Apply
Per Diem Perfusionist
Keystone Perfusion Services, P.C. —Myrtle Beach, SC
- $100 an hour
- 8 hour shift
- Surgery
- BLS Certification
- Bachelor's degree
- Travel reimbursement
Quick Apply
Director of MDS RN
Loudoun Rehabilitation and Nursing Center —Leesburg, VA
- Full-time
- Skilled nursing facility
- RN License
- Analysis skills
- Paid holidays
- Dental insurance
Quick Apply

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Director, Quality & Process Improvement, HEDIS Audit

Centene -
Remote

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Job Details

Full-time
$118,400 - $219,000 a year

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Optimizing workflow processes
Performance dashboard reports
TJC
Process flow diagrams
Operational analysis
Performance improvement leadership
6 years
Tooling
Workflow management (operations management method)
Audit engagement planning
Dashboard creation
Business analysis
Dashboard creation support
Process design
Healthcare documentation compliance audits
Research methodology
Reporting and dashboarding tools
Quality control audit
Process mapping
Process modeling
Policy & process development
Hospital accreditation
Bachelor's degree
Healthcare quality assurance policy development
Data analytics
Regulatory readiness in healthcare
Interdisciplinary policy and procedure development experience
Regulatory submissions
Healthcare regulatory compliance policy development
Healthcare policy development

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Applicants for this job have the flexibility to work remote from home anywhere in the United States.

Position Purpose: Lead and direct process improvement initiatives by utilizing process improvement methodologies in the analysis of current operations and design of improvement projects across all areas that impact operations. Support NCQA HEDIS audit readiness and compliance, ensuring accurate and timely submissions.

The ideal candidate brings deep experience leading HEDIS audit readiness and execution, with a proven ability to manage complex regulatory timelines, drive cross-functional accountability, and deliver audit-ready, accurate results.

This role leads daily audit readiness activities, including Roadmaps, Section 5 documentation, Measure Specifications, CAHPS coordination, and auditor engagement, ensuring all deliverables are accurate, complete, and submitted on time.
Oversee the administration, coordination and evaluation of quality assurance and training, including policy and procedure development, training assessments and quality adherence auditing.
Direct the execution of performance improvement projects, including process mapping and process design including HEDIS audit timelines and deliverables.
Serve as primary point of contact for auditors and leadership, supporting audit communications and successful outcomes.
Create and maintain dashboards, communications, and strategies to improve effectiveness.
Research and develop best practices, policies, procedures, and goals in compliance with internal and external guidelines.
Oversee data analysis and gathering processes and programs to establish costs and benefits of process effectiveness and efficiency.
Ensure business unit is compliant with URAC and Joint Commission Accreditation standards.
Review and implement new technological tools and processes.
Establish strong collaborative relationships with all functional units and their leaders.

Knowledge/Experience: Bachelors Degree in related field. 6+ years of quality and process improvement experience. Healthcare industry experience preferred. Knowledge of research methodologies including measures and outcomes; knowledge of process mapping, process design, and workflow management software and applications. URAC and Joint Commission Accreditation experience preferred. Experience with NCQA HEDIS measures or audit processes highly preferred.

Pay Range: $118,400.00 - $219,000.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Work Location: Remote

Apply Now

Refine Your Search

Director Quality/Process Improvement jobs

Director, Quality & Process Improvement, HEDIS Audit

Director - Business Process Improvement

Director Quality and Process Improvement

Respiratory Therapist Lead

PACE Medical Director, Jordan Valley Senior Care

Director of Nursing (DON)

Clinical Director

RN Facility Administrator

Advanced Practice Practitioner Manager (NP/PA)

Foreman - HVAC

Medical Laboratory Scientist or Technician

Director of Nursing (DON/RN)

Physician - (Optometrist/Ophthalmologist)

Staff RN - Behavioral Health / Emergency - Part Time / Days

Staff RN - Experienced Bedside Behavioral Health / Emergency - Full time/Nights

Chief Medical Officer (CMO)

GIP Medical Director Hospitalist

Assistant Director of Nursing (RN)

Per Diem Perfusionist

Director of MDS RN

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