Top 8742 Quality Process Auditor 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
Healthcare Auditor II
Health Services Advisory Group, Inc. —Remote
- $80,000 - $90,000 a year
- Full-time
- Remote
- Microsoft Word
- Microsoft Outlook
- Writing skills
- Paid holidays
- Health insurance
Quality Expert (Remote)
Nestlé USA —Solon, OH
- $124,000 - $155,000 a year
- PRN
- Remote
- 7 years
- Word processing
- Mid-level
- Health insurance
- 401(k) matching
12d
Acute Coding Quality Review Auditor (Remote)
Adventist Health —Roseville, CA
- $36.91 - $50.62 an hour
- Remote
- 5 years
- Mid-level
- High school diploma or GED
Sales Tax Supervisor
Les Schwab Warehouse Center, LLC —Bend, OR
- Full-time
- CPA
- 5 years
- Bachelor of Science
Quick Apply
13d
Quality Manager
Foamtec International Co. —Waco, TX
- Full-time
- Microsoft Outlook
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Underwriter/Senior Underwriter
CIS Trust —Wilsonville, OR
- $100,092 - $137,311 a year
- Online Application
- Hybrid work
- Background check
- 5 years
- Public speaking
- Health insurance
- Dental insurance
13d
Coding and Compliance Auditor
South Shore Health —Weymouth, MA
- $73,000 - $104,400 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Acute care experience
Mortgage Quality Control Auditor
Village Capital & Investment —Henderson, NV
- Full-time
- Mid-level
- Windows
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
Policy Management ERM Specialist
CONTINENTAL SERVICE GROUP LLC —Fairport, NY
- $62,353.20 - $71,706.18 a year
- 8 hour shift
- Microsoft Word
- Microsoft Excel
- Mid-level
Quick Apply
QMS Technician
Premier Precision Machining —Falconer, NY
- $25.60 - $34.12 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- English
- Health insurance
- Dental insurance
Quick Apply
Compliance and Controls Engineer
NAVAERA CONSULTING, LLC —Scottsdale, AZ
- $90,000 - $126,000 a year
- Full-time
- Background check
- 7 years
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Medical Quality Assurance Auditor
Universal Rehabilitation Institute —Livingston, NJ
- Up to $80,000 a year
- Full-time
- Background check
- Experience working with individuals with developmental disabilities
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
Quality Compliance Auditor
Camco Chemical —Florence, KY
- Ability to climb stairs
- Ability to lift 50 pounds
- Bachelor's degree
Production Quality Engineer
Nifco America, Corp. —Canal Winchester, OH
- $65,000 - $80,000 a year
- Full-time
- Background check
- Microsoft Excel
- Writing skills
- Health savings account
- Relocation assistance
Quick Apply
TSL Training Specialist
Bloodworks Northwest —Seattle, WA
- $36.60 - $56.60 an hour
- Overtime
- Microsoft Word
- Microsoft Access
- Heavy lifting
- Relocation assistance
- Health insurance
Quick Apply
2h
Quality Control Manager
RWD Consulting, LLC —Falls Church, VA
- $120,000 - $140,000 a year
- Full-time
- Management
- Mid-level
- 3 years
- Dental insurance
- 401(k)
Quick Apply
14d
Quality Systems Supervisor
Bimbo QSR —Denver, CO
- $78,263 - $101,706 a year
- Full-time
- Customer service
- Bachelor of Science
- ERP systems
- Health savings account
- Health insurance
Quick Apply
Director of Compliance
Precision Armament —Wellsville, NY
- $65,000 - $90,000 a year
- Full-time
- Management
- 5 years
- Engineering
- Profit sharing
- Health savings account
Quick Apply
7d
Senior Financial Analyst/ Controller Development
Kane County Hospital —Kanab, UT
- Full-time
- CPA
- HIPAA
- 3 years
- Health savings account
- Health insurance
Quick Apply
8h

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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
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
Research regulatory compliance

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

Quality Process Auditor jobs

Director, Quality & Process Improvement, HEDIS Audit

Healthcare Auditor II

Quality Expert (Remote)

Acute Coding Quality Review Auditor (Remote)

Sales Tax Supervisor

Quality Manager

Underwriter/Senior Underwriter

Coding and Compliance Auditor

Mortgage Quality Control Auditor

Policy Management ERM Specialist

QMS Technician

Compliance and Controls Engineer

Medical Quality Assurance Auditor

Quality Compliance Auditor

Production Quality Engineer

TSL Training Specialist

Quality Control Manager

Quality Systems Supervisor

Director of Compliance

Senior Financial Analyst/ Controller Development

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