Top 147154 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 of Compliance
PROVIDER RESOURCES INC —Remote
- $165,000 - $190,000 a year
- Full-time
- Remote
- Senior level
- Leadership
- 10 years
Quick Apply
Director, Food Safety & Quality Assurance
Country Fresh —Remote
- $100,000 - $120,000 a year
- Full-time
- Remote
- Mentoring
- Training & development
- Senior level
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Director, Training and Quality Assurance
Intelogix —Remote
- Full-time
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- HIPAA
- Senior level
- 4 years
Director, Strategic Programs
Lone Wolf Technologies —Remote
- $150,000 - $168,000 a year
- Full-time
- Remote
- Finance
- 8 years
- Analysis skills
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Associate Director, Quality Systems & Architecture
BD —San Diego, CA
- $169,800 - $280,300 a year
- 5 years
- Bachelor of Science
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Associate Director Strategic Planning & Operations - Quality Strategy Organization
Amgen —Remote
- $151,074.75 - $204,395.25 a year
- Remote
- Doctoral degree
- 3 years
- Master's degree
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Director, Quality Assurance
Pacific Clinics —Arcadia, CA
- $113,975 - $140,175 a year
- Remote
- 5 years
- Bachelor of Science
- Research
- Health insurance
- Dental insurance
Director of Quality - Great Falls Montana
Avmax Montana, Inc. —Great Falls, MT
- Full-time
- Background check
- Microsoft Excel
- Pass drug screening
- Health savings account
- Health insurance
Regional Medical Director
TapestryHealth —Orlando, FL
- $200,000 - $250,000 a year
- Full-time
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- 3 years
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Director, Member Advocate Center
Costco Auto Program —Reno, NV
- $100,000 - $110,000 a year
- Full-time
- 7 years
- Microsoft Outlook
- Bachelor's degree
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Executive Director - Civil Engineering Membership Organization
Engineers & Surveyors Institute —Chantilly, VA
- Full-time
- Public speaking
- Office
- Mentoring
- Health insurance
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Director, Quality & Patient Safety
Boston Medical Center —Boston, MA
- $122,000 - $177,000 a year
- Full-time
- Background check
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- Microsoft Excel
- Health insurance
- Dental insurance
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Director of Emergency Care
Amberwell Health Hiawatha —Hiawatha, KS
- Weekends as needed
- Nursing
- RN License
- BLS Certification
DIRECTOR OF NURSING
Linda Manor Extended Care —Leeds, MA
- $145,000 a year
- Nursing
- RN License
- Bachelor's degree
- Paid time off
- 403(b)
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Clinical Services Program Director
Lighthouse Therapeutic Services —Chesapeake, VA
- $25 - $38 an hour
- Part-time
- Licensed Clinical Social Worker
- Adults
- LPC
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Director of Pharmacy
Boston Medical Center —Brighton, MA
- $136,000 - $197,500 a year
- Full-time
- Acute care
- Background check
- Hospital
- Health insurance
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Quality Improvement, RN
Inland Empire Health Plan —Rancho Cucamonga, CA
- $91,249.60 - $120,910.40 a year
- Full-time
- Hybrid work
- Nursing
- Microsoft Excel
- RN License
- Disability insurance
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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
Associate Executive Director - Corporate Compliance Officer
North Charles Mental Health Research and Training Foundation, Inc —Cambridge, MA
- $73,000 - $80,000 a year
- Full-time
- HIPAA
- Office
- Master's degree
- Health savings account
- Health 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
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

director quality programs jobs

Director, Quality & Process Improvement, HEDIS Audit

Director of Compliance

Director, Food Safety & Quality Assurance

Director, Training and Quality Assurance

Director, Strategic Programs

Associate Director, Quality Systems & Architecture

Associate Director Strategic Planning & Operations - Quality Strategy Organization

Director, Quality Assurance

Director of Quality - Great Falls Montana

Regional Medical Director

Director, Member Advocate Center

Executive Director - Civil Engineering Membership Organization

Director, Quality & Patient Safety

Director of Emergency Care

DIRECTOR OF NURSING

Clinical Services Program Director

Director of Pharmacy

Quality Improvement, RN

PACE Medical Director, Jordan Valley Senior Care

Associate Executive Director - Corporate Compliance Officer

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