Top 148430 Director quality programs 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, Food Safety & Quality Assurance
Country Fresh —Remote
- $100,000 - $120,000 a year
- Full-time
- Remote
- Mentoring
- Training & development
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Director, Quality & Patient Safety
Boston Medical Center —Boston, MA
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- Full-time
- Background check
- Nursing
- Microsoft Excel
- Health insurance
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Director of Advanced Manufacturing Engineering, Materials & Processes
Titomic Ltd US —Madison, AL
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- 401(k)
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Director of Project Management
Resilux America LLC —Pendergrass, GA
- From $145,000 a year
- Full-time
- Background check
- Management
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Senior Director, Provider Contracting - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)
Denver Health —Denver, CO
- $143,800 - $237,400 a year
- Full-time
- Hybrid work
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- Finance
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- Paid holidays
Country Managing Director, U.S.
PINDAO INTERNATIONAL INVESTMENT PTE. LTD. —New York, NY
- $120,000 - $200,000 a year
- Full-time
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PACE Medical Director, Jordan Valley Senior Care
Jordan Valley Health —Springfield, MO
- Full-time
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- Current TB test
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Team Medical Director
Lynn Community Health Center —Lynn, MA
- $120,000 - $250,000 a year
- Spanish
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- BC/BE
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Senior Clinical Administrative Director
Lifeworks NW —Portland, OR
- $44.50 - $64.22 an hour
- Part-time
- Microsoft Outlook
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- 5 years
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Director, Member Advocate Center
Costco Auto Program —Reno, NV
- $100,000 - $110,000 a year
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- 7 years
- Microsoft Outlook
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Quality Director
McGregor PACE —Cleveland, OH
- $90,000 - $110,000 a year
- Full-time
- RN License
- Public speaking
- 3 years
- 403(b) matching
- Health savings account
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14d
Director of Engineering
Hazelett Corporation —Colchester, VT
- $140,000 - $150,000 a year
- Full-time
- Office
- Bachelor's degree
- Mentoring
- AD&D insurance
- Disability insurance
Quick Apply
Director of Operations & Projects
Elevated Properties —Steamboat Springs, CO
- $85,000 - $95,000 a year
- Weekends as needed
- Background check
- Spanish
- Writing skills
- Health insurance
- Dental insurance
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Director of Surgical Services – Vanderbilt Tullahoma-Harton Hospital
Vanderbilt University Medical Center —Tullahoma, TN
- Full-time
- Nursing
- Surgery
- RN License
- Disability insurance
- Health insurance
Director of Substance Use Disorder Services
Okanogan Behavioral HealthCare —Omak, WA
- $38.13 - $38.94 an hour
- Full-time
- 5 years
- Driver's License
- Supervising experience
- Health savings account
- Paid holidays
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Director of Nursing
Restpadd - Ukiah —Ukiah, CA
- $115,000 - $140,000 a year
- Full-time
- Nursing
- RN License
- Computer literacy
- Health insurance
- Dental insurance
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8d
Continuous Improvement Lean Specialist
Rochling Medical Rochester —Rochester, NY
- $80,000 - $110,000 a year
- Full-time
- Background check
- 5 years
- Engineering
- Health savings account
- Health insurance
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Physician Assistant Program - Director of Clinical Education
SOUTH COLLEGE —Farmers Branch, TX
- Full-time
- Clinic experience
- 3 years
- University
- Health insurance
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Quick Apply
13d
Director of Risk Management
North Star Behavioral Health —Anchorage, AK
- From $120,000 a year
- Full-time
- Adults
- Bachelor's degree
- US work authorization
- Health savings account
- Health insurance
Quick Apply
1d

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Director, Quality & Process Improvement, HEDIS Audit

Centene -
Remote

Apply Now

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 programs jobs

Director, Quality & Process Improvement, HEDIS Audit

Director, Food Safety & Quality Assurance

Director, Quality & Patient Safety

Director of Advanced Manufacturing Engineering, Materials & Processes

Director of Project Management

Senior Director, Provider Contracting - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)

Country Managing Director, U.S.

PACE Medical Director, Jordan Valley Senior Care

Team Medical Director

Senior Clinical Administrative Director

Director, Member Advocate Center

Quality Director

Director of Engineering

Director of Operations & Projects

Director of Surgical Services – Vanderbilt Tullahoma-Harton Hospital

Director of Substance Use Disorder Services

Director of Nursing

Continuous Improvement Lean Specialist

Physician Assistant Program - Director of Clinical Education

Director of Risk Management

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