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Quality Consultant Jobs (NOW HIRING)

Cambay

ASPICE Consultant/ Quality

Farmington Hills, MI · On-site

ASPICE Consultant/ Quality Location: Farmington Hills, MI Duration: Long term contract 10-12 years of industry experience in the process consulting, quality management, process definition, process ...

BIICS, Inc

Quality Engineering Consultant

Tallahassee, FL · On-site

$85 - $115/hr

Business Intelligence & Informatics Consultant Services, Inc. (BIICS, Inc) | Full time Quality Engineering Consultant Tallahassee, United States | Posted on 08/12/2026 Business Intelligence ...

New

Pwc

Payer Quality Consultant, Director

Kansas City, MO · On-site

$155K - $410K/yr

Industry/Sector Health Services Specialism Operations Management Level Director & Summary The Opportunity As a Payer Quality Consultant, Director, you will lead strategic initiatives within our ...

Pwc

Payer Quality Consultant, Director

Austin, TX · On-site

$155K - $410K/yr

Industry/Sector Health Services Specialism Operations Management Level Director & Summary The Opportunity As a Payer Quality Consultant, Director, you will lead strategic initiatives within our ...

Pwc

Payer Quality Consultant, Director

Nashville, TN · On-site

$155K - $410K/yr

Industry/Sector Health Services Specialism Operations Management Level Director & Summary The Opportunity As a Payer Quality Consultant, Director, you will lead strategic initiatives within our ...

Pwc

Payer Quality Consultant, Director

Seattle, WA · On-site

$155K - $410K/yr

Industry/Sector Health Services Specialism Operations Management Level Director & Summary The Opportunity As a Payer Quality Consultant, Director, you will lead strategic initiatives within our ...

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Quality Consultant information

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How much do quality consultant jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for quality consultant in the United States is $50.76, according to ZipRecruiter salary data. Most workers in this role earn between $36.54 and $67.07 per hour, depending on experience, location, and employer.

What is a quality consultant?

A quality consultant advises an organization or business on how to improve the quality of their products or services. Job duties include performing research and analysis on existing business products or past projects, interviewing the clients to determine what goals they are looking to meet, and providing advice on how best to reach those goals. A quality consultant can work with clients in a wide variety of industries.

How does a quality consultant typically collaborate with different departments within an organization?

Quality Consultants work closely with various departments such as production, operations, and compliance to identify areas for improvement and ensure that quality standards are met. They often facilitate cross-functional meetings, analyze process data, and provide training or recommendations tailored to each team's needs. Effective communication and relationship-building are essential, as consultants must gain buy-in from stakeholders to implement quality initiatives. This collaborative approach helps create a unified culture of quality throughout the organization.

What are the key skills and qualifications needed to thrive as a quality consultant, and why are they important?

To thrive as a Quality Consultant, you need expertise in quality management systems, process improvement methodologies (like Six Sigma or Lean), and a relevant degree in engineering, science, or business. Familiarity with industry standards such as ISO 9001, proficiency in auditing tools, and certifications like Certified Quality Auditor (CQA) or Six Sigma Green/Black Belt are typically required. Strong analytical thinking, effective communication, and the ability to influence and train teams are vital soft skills in this role. These skills ensure that organizations consistently meet regulatory standards, improve operational efficiency, and sustain high-quality outcomes.

What is the difference between Quality Consultant vs Quality Auditor?

AspectQuality ConsultantQuality Auditor
CredentialsTypically requires certifications like ASQ CQE or Certified Quality Improvement AssociateOften requires certifications such as ASQ CQI or Certified Quality Auditor (CQA)
Work EnvironmentAdvises organizations on quality improvement, process optimization, and complianceConducts inspections, audits, and assessments to ensure compliance with standards
Employer & Industry UsageUsed across manufacturing, healthcare, and service industries for consulting rolesCommon in manufacturing, aerospace, and healthcare for compliance and regulatory purposes

While both roles focus on quality, a Quality Consultant provides strategic advice and process improvements, whereas a Quality Auditor conducts inspections and verifies compliance. The roles often overlap but serve different functions within quality management systems.

How much do quality consultants make?

Quality consultants typically earn between $60,000 and $100,000 annually, depending on experience, industry, and location. Senior or specialized consultants with certifications like Six Sigma or ISO may earn higher salaries, and some work on a contract basis with hourly rates.

What does a quality consultant do?

A quality consultant evaluates and improves an organization’s quality management systems, processes, and standards to ensure products or services meet customer and regulatory requirements. They analyze data, identify areas for improvement, and recommend solutions, often using tools like Six Sigma or ISO standards. The role typically requires strong analytical skills and knowledge of quality assurance practices.
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Quality Consultant jobs near you
Infographic showing various Quality Consultant job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 13% Part Time, 4% Contract, and 1% Nights. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $105,586 per year, or $50.8 per hour.

Medicare Advantage Quality Consultant

Highmark Health

Camp Hill, PA • On-site

Full-time

Posted 11 days ago

Highmark Health rating

7.8

Company rating: 7.8 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

Job description

Company :
Highmark Inc.Job Description :
JOB SUMMARY
This job is directly responsible for the value creation, impact and cost control and fiscal/ROI targets as set by the Organization, including revenue stream outcomes, and engagement of primary care providers (PCP) enrolled in government value-based reimbursement programs and continuous improvement models. This job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement in value creation, cost control and utilization, performance, and develops strategic plans in collaboration with PCPs and the inter-departmental teams for transformation of workflows resulting in outstanding performance in government program(s) ensuring that ROI targets set by the Organization are met or exceeded. Further, in a matrix management environment, the Medicare Advantage Quality Consultant is responsible for collaborative work with other functions in the provider area, data analytics, and key internal/external stake holders to provide the most appropriate support to the PCPs based upon data analysis and dashboard reports.
This is a hybrid based role in Camp Hill, PA or Wilkes Barre, PA.
ESSENTIAL RESPONSIBILITIES
  • Directly responsible to provide office based, hands-on assistance services (i.e., chart reviews, mass claims adjustments, UDC processes, etc.) to PCPs enrolled in Medicare STARS, Medicaid HEDIS and risk revenue programs and clinical evidence-based guidelines. The Medicare Advantage Quality Consultant is expected to assess the needs of each individual PCP practice, and use a combination of on-site individual office based, entity level based, video conference, teleconference, and electronic mail interactions to drive engagement and exemplary value creation, impact and cost control, and ROI/fiscal outcomes as set by the Organization for government programs.
  • Directly responsible to analyze and interpret data in government value-based reimbursement reports in the areas of Medicare STARS, Medicaid HEDIS and risk revenue and develop strategic plans to meet PCP government program targets to create value, impact, and cost savings, as well as meeting the ROI as identified by the Organization.
  • Directly responsible to assess data for highest ROI opportunities in PCP performance and implement strategic plans to meet identified program targets across all the Organization's value-based programs for both the commercial and government business (ACA, Medicare STARS, Medicaid HEDIS, risk revenue).
  • Function as the Organization's representative subject matter expert in government value-based reimbursement programs and data analysis. This includes presentation of program results to both internal and external audiences, including practice and entity meetings.
  • Participates in the development and presentation of instructional materials for internal and external audiences.
  • Provide assistance to PCPs in the use of user interfaces, predicative analytic tools, and other population health management tools endorsed by Highmark.
  • Independently and autonomously manage PCP caseloads, projects, meetings, deliverables, resources etc. for individualized strategic plans to transform PCP practices enrolled in government programs using innovative continuous improvement methodologies. This includes cross training in all of Highmark's value-based reimbursement programs to lend support as needed/defined by market outcomes.
  • Serve as the clinical subject matter expert for PCP Medicare STARS, Medicaid HEDIS, and risk revenue programs for both internal and external Highmark key stake holders. In a matrix management environment, works collaboratively with the interdepartmental team to provide the most comprehensive support to PCPs for exemplary scores in government programs.
  • Other duties as assigned or requested.

EDUCATION
Required
  • Bachelor's Degree in a clinical or healthcare related field

Substitutions
  • 6 years of relevant experience in lieu of a Bachelor's Degree

Preferred
  • Master's Degree in a clinical or healthcare related field

LICENSES OR CERTIFICATIONS
Required
  • None

Preferred
  • None

EXPERIENCE
Required
  • 5 years in Medicare/Medicaid and risk revenue, primary care and the ambulatory care environment, healthcare insurance industry government programs, healthcare administration in primary care, or healthcare consulting in government programs for primary care
  • 3 years in data analysis, interpretation, and outcomes strategic plan development
  • Experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health management

Preferred
  • 7 years in a government program setting, managed care, primary care management or other clinical setting
  • Experience in Lean, Six Sigma, TQI, TQC or other quality management certification
  • Experience in health plan provider network performance management, population health management, continuous improvement or provider engagement models

SKILLS
  • Must be able to effectively resolve issues and problems across all areas of the corporation, by understanding corporate strategies, policy and scope of authority
  • Because of the broad impact of decisions that are made, must be knowledgeable and sensitive to many internal and external corporate issues
  • Aptitude for a high visibility position demanding integrity, uncompromising professionalism, diplomacy and conflict management
  • Demonstrates a deep understanding of primary care practice operations and workflow across the continuum of variability in primary care and experience in managing provider and administrative leadership relationships
  • Superior written and verbal communication skills and listening skills
  • Ability to adapt engagement strategies to meet market needs

Travel Requirement
50% - 75%
Language Requirement (other than English)
None
PHYSICAL, MENTAL DEMANDS AND WORKING CONDITIONS
Position Type
Office-Based
Teaches/Trains others regularly
Constantly
Travels regularly from the office to various work sites or from site-to-site
Frequently
Works primarily out-of-the office selling products/services (Sales employees)
Does Not Apply
Physical Work Site Required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Rarely
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice

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About Highmark Health

Sourced by ZipRecruiter

A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best. Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia, and eastern and northwestern New York with customers in 50 states and the District of Columbia. We passionately serve individual consumers and fellow businesses alike. And our companies cover a diversified spectrum of essential health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions. Our financial position reflects strength and stability, with our year-end 2022 consolidated revenues totaling $26 billion. And we're proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.

Industry

Health care and social assistance and insurance services

Company size

10,000+ Employees

Headquarters location

Pittsburgh, PA, US

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