Senior Healthcare Quality Analyst (QI / Compliance / HEDIS)

Senior Quality Improvement Analyst (Healthcare Compliance & Interventions)

Location:
Remote (US)

Industry:
Healthcare / Managed Care / Health Insurance

Function:
Quality Improvement, Compliance, Healthcare Analytics

Level:
Senior

Overview

Join a high-impact healthcare quality team focused on improving patient outcomes, ensuring regulatory compliance, and driving continuous improvement across care programs.

This role sits at the intersection of
data analysis, regulatory standards, and healthcare quality
, where you’ll lead initiatives that directly influence performance metrics, accreditation readiness, and member care standards.

What You’ll Do
• Lead and support
quality improvement (QI) initiativesacross clinical and compliance programs
• Analyse and interpret
healthcare performance datato identify trends and improvement opportunities
• Develop reports, dashboards, and visualisations to track
quality metrics and outcomes
• Collaborate cross-functionally to
monitor, evaluate, and enhance care quality programs
• Ensure alignment with
regulatory requirements and accreditation standards (e.g. NCQA)
• Prepare documentation and insights for
audits, surveys, and compliance reviews
• Conduct both
quantitative and qualitative analysisto support decision-making
• Identify risks and develop
actionable improvement plans
• Mentor junior analysts and provide guidance on projects and initiatives

What You Bring
• 3+ years’ experience in
healthcare, including 2+ years inquality improvement or managed care
• Strong analytical skills with experience in
data analysis, reporting, and performance measurement
• Experience working with
healthcare quality frameworks (e.g. HEDIS, STARS, NCQA)
• Advanced skills in
Excel(data analysis, reporting) and process mapping tools (e.g. Visio)
• Strong business writing and ability to present insights to stakeholders
• Ability to manage multiple projects and work cross-functionally

Nice to Have
• Experience with
Medicare or Medicaid programs
• Background in
public health, clinical fields, or healthcare analytics
• Certifications such as
CPHQ or HEDIS-related credentials

Why This Role
• Fully
remotewith strong flexibility
• High-impact role influencing
patient care quality and compliance
• Blend of
strategy, analytics, and regulatory exposure
• Opportunity to work on
accreditation and large-scale improvement initiatives

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