Top 80 Quality improvement manager Jobs in Rexburg, Id

Compliance Improvement Manager
HEALTHPLANONE, LLC —Sugar City, ID
- Full-time
- 6 years
- Writing skills
- Analysis skills
- Health insurance
Quick Apply
12d
Plasma Center Manager
Grifols —Rexburg, ID
- Full-time
- Nursing
- Finance
- Master's degree
Product Compliance Lead (Global Apparel)
Polaris Inc. —Rigby, ID
- Full-time
- Remote
- 5 years
- Bachelor's degree
- Travel
Product Compliance Lead (Global Apparel)
Klim —Rigby, ID
- Full-time
- Remote
- 5 years
- Bachelor's degree
- Travel
Production and Supply Chain Manager (Global Apparel)
Klim —Rigby, ID
- Full-time
- Hybrid work
- 5 years
- Office
- Bachelor's degree
8d
Production and Supply Chain Manager (Global Apparel)
Polaris Inc. —Rigby, ID
- Full-time
- Hybrid work
- 5 years
- Office
- Bachelor's degree
9d
Material Development Manager
Klim —Rigby, ID
- Full-time
- Hybrid work
- 7 years
- Office
- Bachelor's degree
Material Development Manager
Polaris Inc. —Rigby, ID
- Full-time
- Hybrid work
- 7 years
- Office
- Bachelor's degree
Medicare Sales Supervisor
HEALTHPLANONE, LLC —Sugar City, ID
- Weekends as needed
- Remote
- Writing skills
- Mid-level
- High school diploma or GED
- Health insurance
Quick Apply
General Manager
Millcreek Metals —Idaho Falls, ID
- Full-time
- Customer service
- Mid-level
- Forklift
- Health savings account
- AD&D insurance
Quick Apply
Pharmacy Operations Manager
Walgreens —Rexburg, ID
- $22.50 - $31.00 an hour
- Weekends as needed
- English
- Mid-level
- High school diploma or GED
- Continuing education credits
- Health insurance
Carpentry Manager - Teton Region
New West Building Company —Rexburg, ID
- $80,000 - $110,000 a year
- Full-time
- Spanish
- Construction site
- 5 years
- Paid parental leave
- AD&D insurance
Quick Apply
EDUCATION PRG MGR,CORR
State of Idaho —Saint Anthony, ID
- Up to $12.08 an hour
- Full-time
- High school
- Writing skills
- Master's degree
- Paid parental leave
- Paid holidays
3d
Production Manager
Teton Leather —Idaho Falls, ID
- $20 - $25 an hour
- Full-time
- 5 years
- In-person
- Senior level
Quick Apply
4d
Branch Operations Supervisor - Commercial Insurance
Insurance Office of America, Inc. —Idaho Falls, ID
- $60,000 - $80,000 a year
- Full-time
- Microsoft Outlook
- Mid-level
- 3 years
- Paid holidays
- Health insurance
Quick Apply
Field Gutter Manager
LeafHome —Idaho Falls, ID
- $31 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Construction site
- Paid parental leave
- Dental insurance
Quick Apply
Acute & Critical Care - Clinical Nurse Leader - (FT)
Madisonhealth —Rexburg, ID
- $28.78 an hour
- Full-time
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
2d
Commercial Project Manager (Storefront & Glazing - In-Office/Not Remote)
Northstar Summit —Idaho Falls, ID
- Overtime
- Construction site
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Manager Claims Casualty
First Acceptance Services Inc —United States
- Remote
- High school diploma or GED
- Analysis skills
- Bachelor's degree
National Account Manager - Foodservice
Schweid & Sons —United States
- $140,000 - $175,000 a year
- Remote
- Microsoft Word
- 5 years
- Continuous improvement
- Paid holidays
- Health insurance

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quality improvement manager jobs near rexburg, id

Compliance Improvement Manager

HEALTHPLANONE, LLC -
Sugar City, ID

Quick Apply

Job Details

Full-time
12 days ago

Benefits

Health insurance

Qualifications

Optimizing workflow processes
Data analysis reporting
Medicare
Medical law
Writing skills
CMS
Process design
Data reporting
Implementing healthcare compliance training programs
Healthcare regulatory compliance investigations
Trend analysis
CMS regulatory compliance
Health insurance knowledge
Medicare regulations
Team training
Reporting on compliance risks
Training & development
Process improvement planning
Cross-functional collaboration
Risk & issue management
Cross-functional communication
Audit support

Full Job Description

HealthPlanOne's mission is to help people find the right health insurance at the right price, so they live healthier lives. We are committed to making the shopping process simpler. Our mission has never been more important than it is today.

The Compliance Improvement Manager is responsible for strengthening compliance adherence, optimizing call center operations, and driving compliance-focused performance initiatives across the organization. This role collaborates with key stakeholders to improve compliance processes, streamline operational workflows, and enhance agent and leader development through targeted training, monitoring, and performance support. The Compliance Improvement Manager works closely with compliance leadership, sales teams, and carrier partners to ensure regulatory requirements are met while supporting efficiency and service quality within the Medicare call center environment.

Supervisory Responsibilities: Directly manages a team of Compliance Analysts and oversees their daily work and development.

Duties/Responsibilities:

Support compliance and performance strategy by implementing CMS and carrier aligned initiatives and guiding process improvements that enhance regulatory adherence and operational efficiency.
Monitor compliance trends and analytics by reviewing KPIs, audit results, coaching data, CTM activity, and retention patterns to identify risks and improvement opportunities.
Lead compliance coaching and retraining for agents and leaders while overseeing a team that supports preparation and monitoring and will eventually assist in coaching and remediation activities.
Partner with internal teams on training, scripting, and call-flow alignment to ensure compliance accuracy and consistent application of regulatory requirements across materials and workflows.
Enhance operational and compliance processes by collaborating with cross-functional teams to streamline workflows, reduce inefficiencies, and strengthen adherence to CMS and carrier guidelines.
Provide audit, remediation, and reporting support by reviewing audit and performance trends, developing corrective strategies, and participating in carrier compliance reviews with concise, data-driven insights.
Independently manage all carrier-facing compliance communication by representing the Compliance department during carrier meetings, reviews, and external partnership discussions.
Perform other related duties as assigned to support compliance initiatives and organizational effectiveness.

Required Skills/Abilities:

Bachelor’s degree or equivalent
6 years’ experience in Medicare Advantage, Prescription Drug Plan and Regulatory Compliance in healthcare or insurance.
Strong knowledge of CMS regulations, Medicare compliance standards, and carrier requirements.
Familiarity with audit & monitoring tools for compliance tracking and performance improvement.
Experience in risk management, compliance reporting, and process optimization.
The ability to collaborate with training teams and leadership to ensure compliance and performance initiatives are effectively communicated and adopted.
Strong oral and written communication skills for supporting training development and compliance discussions.
Ability to analyze compliance and performance trends, identify areas of improvement, and assist in implementing improvement programs.
Experience in trend analysis, remediation support, and compliance monitoring.

Preferred Skills/Abilities:

Proven strength in compliance coaching, regulatory interpretation, and improving call center adherence through analytics and cross-department collaboration. Ability to build strong carrier relationships while supporting internal teams through training and process improvement.

Physical Requirements:

Must be able to remain in a stationary position (e.g., sitting or standing) for extended periods of time, typically in a cubicle environment (constant noise, fluorescent overhead lighting)
Frequent use of a computer, dual monitors, keyboard, mouse, and other standard office equipment such as a telephone, copier, and printer.
Must be able to communicate effectively, including exchanging information in person, in writing, by telephone, email or video conferencing.
Visual and auditory acuity required to perform job duties effectively, including reading, writing, and interpreting information on screens or in print.
Hand dexterity, fine motor skills needed to operate a keyboard and mouse efficiently
Reach with hands and arms occasionally

For Hybrid Roles:

Must be able to commute to an office setting as required, which may include walking short distances and navigating an office environment.
Occasionally moves about the office to access files, office machinery, and meet with others.

Equal Employment Opportunity (EEO) is a fundamental principle at HealthPlanOne, where employment is based upon personal capabilities and qualifications. HealthPlanOne does not discriminate because of actual or perceived sex, sexual orientation or preference, gender identity, gender, transgender, race, color, religion, national origin, creed, citizenship status, ancestry, age, marital status, pregnancy, childbirth or related medical conditions, medical conditions including genetic characteristics, mental or physical disability, military and veteran status, or any other protected characteristic as established by law. HealthPlanOne requires the necessary drug testing and background checks as part of our pre-employment practices. If you need assistance or an accommodation due to a disability, please contact us to request accommodation at [email protected]

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Refine Your Search

quality improvement manager jobs in rexburg, id

Compliance Improvement Manager

Plasma Center Manager

Product Compliance Lead (Global Apparel)

Product Compliance Lead (Global Apparel)

Production and Supply Chain Manager (Global Apparel)

Production and Supply Chain Manager (Global Apparel)

Material Development Manager

Material Development Manager

Medicare Sales Supervisor

General Manager

Pharmacy Operations Manager

Carpentry Manager - Teton Region

EDUCATION PRG MGR,CORR

Production Manager

Branch Operations Supervisor - Commercial Insurance

Field Gutter Manager

Acute & Critical Care - Clinical Nurse Leader - (FT)

Commercial Project Manager (Storefront & Glazing - In-Office/Not Remote)

Manager Claims Casualty

National Account Manager - Foodservice

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