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Remote Clinical Quality Improvement Jobs (NOW HIRING)

ASANTE

Quality Improvement Advisor 2

Grants Pass, OR · On-site +1

$90K - $123K/yr

... remote work Starting Wage for this exempt position : $90,084.80-$123,864.00, depending on ... This role partners closely with clinical and operational leaders to translate performance data and ...

Centene

Quality Improvement Specialist (non Clinical)

$27.02 - $48.55/hr

Respond to quality improvement inquiries. Key Details: Candidates residing in California are ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

ASANTE

Quality Improvement Advisor 1

Grants Pass, OR · On-site +1

$67K - $93K/yr

... for remote work Starting Wage for this exempt position : $67,766.40-$93,184.00, depending on ... management, or clinical support roles- required * Ability to apply performance improvement ...

Centene

Quality Improvement Specialist (HEDIS) II

$70K - $126K/yr

Provide clinical support to the medical record abstraction, over-read and audit processes ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

TEEMA Group

REMOTE RN - Quality Review

Phoenix, AZ · Remote

$42 - $43.50/hr

This role focuses on reviewing clinical cases, identifying potential quality or safety concerns ... Support peer review processes and quality improvement initiatives * Analyze trends and assist in ...

Mountain Pacific

Quality Improvement Advisor II

Helena, MT · On-site +1

$70K - $95K/yr

We have an opening for a Quality Improvement Advisor II (Remote but must reside in Montana or Wyoming) The full-time remote Quality Improvement Advisor II must reside in Montana or Wyoming. The ...

Vibrant

Quality Improvement Specialist - H2H

$40.88 - $44.07/hr

Professional clinical licensure (LCSW, LMFT, LMHC, PhD, PsyD) if applicable. * 1+ years of experience in crisis services, behavioral health, suicide prevention, contact-center quality improvement, or ...

New

WEP Clinical

Clinical Quality Assurance Manager

Drive continuous improvement, QMS documentation updates, quality governance, risk-based decision ... LI-remote We may use artificial intelligence (AI) tools to support parts of the hiring process ...

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Remote Clinical Quality Improvement information

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$41K

$89.4K

$131K

How much do remote clinical quality improvement jobs pay per year?

As of Sep 5, 2026, the average yearly pay for remote clinical quality improvement in the United States is $89,385.00, according to ZipRecruiter salary data. Most workers in this role earn between $71,500.00 and $105,000.00 per year, depending on experience, location, and employer.

What is a remote clinical quality improvement specialist?

A Remote Clinical Quality Improvement specialist is a healthcare professional who works offsite to evaluate, monitor, and enhance healthcare processes and patient care outcomes. They analyze data, develop improvement strategies, and collaborate with healthcare teams to ensure that clinical practices meet established quality standards. By working remotely, they utilize digital tools and communication platforms to assess performance, implement changes, and track progress, all aimed at optimizing patient safety and satisfaction.

What are the key skills and qualifications needed to thrive as a remote clinical quality improvement professional?

A strong background in healthcare, data analysis, and quality improvement methodologies—often supported by a clinical degree or certification such as CPHQ—is essential for this role. Familiarity with quality management systems, process improvement tools (like Lean or Six Sigma), and electronic health record (EHR) platforms is typically required. Outstanding communication, problem-solving abilities, and self-motivation are vital soft skills for remote collaboration and driving change. These competencies ensure effective identification and implementation of strategies that enhance patient outcomes and operational efficiency in healthcare organizations.

How does a remote clinical quality improvement professional typically collaborate with healthcare teams to implement changes?

Remote Clinical Quality Improvement professionals often work closely with multidisciplinary teams, including clinicians, nurses, and administrative staff, through virtual meetings and collaborative platforms. They analyze performance data, identify areas for improvement, and facilitate the adoption of best practices by sharing evidence-based guidelines. Communication and project management skills are essential to ensure that initiatives are effectively coordinated and that team members are engaged despite the remote work environment.

What is the difference between Remote Clinical Quality Improvement vs Remote Healthcare Data Analyst?

AspectRemote Clinical Quality ImprovementRemote Healthcare Data Analyst
Required CredentialsCertifications in quality improvement, healthcare management, or related fieldsCertifications in data analysis, healthcare informatics, or related areas
Work EnvironmentHealthcare organizations, hospitals, clinics, remote teamsHealthcare providers, research institutions, remote data teams
Employer & Industry UsageUsed in quality improvement initiatives within healthcare settingsUsed for analyzing healthcare data to inform decisions
Search & Comparison IntentOften compared for roles improving healthcare quality remotelyCompared when analyzing healthcare data remotely

Remote Clinical Quality Improvement focuses on enhancing healthcare quality through process improvements and compliance, often requiring certifications in healthcare management. Remote Healthcare Data Analysts analyze healthcare data to support decision-making, requiring data analysis certifications. Both roles are remote, serve healthcare organizations, but differ in core focus: quality improvement versus data analysis.

More about Remote Clinical Quality Improvement jobs

What cities are hiring for Remote Clinical Quality Improvement jobs?

Cities with the most Remote Clinical Quality Improvement job openings:

What are the most commonly searched types of Clinical Quality Improvement jobs?

The most popular types of Clinical Quality Improvement jobs are:

What states have the most Remote Clinical Quality Improvement jobs?

States with the most job openings for Remote Clinical Quality Improvement jobs include:

What job categories do people searching Remote Clinical Quality Improvement jobs look for?

The top searched job categories for Remote Clinical Quality Improvement jobs are:

Remote Clinical Quality Improvement jobs near you
Infographic showing various Remote Clinical Quality Improvement job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 3% Contract, and 1% Nights. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $89,385 per year, or $43 per hour.

Manager - Quality Improvement

Astrana Health

Johnston, RI • Remote

Full-time

Posted 16 days ago

Job description

About the Role

The Manager, Quality Improvement is responsible for leading quality improvement initiatives that support performance across HEDIS, Medicare Stars, and other quality programs. This role collaborates with providers, health plans, IPA partners, and cross-functional teams to improve quality outcomes, close care gaps, enhance provider performance, and support organizational quality goals. The Manager provides operational leadership for assigned quality programs, regional quality operations, provider engagement activities, regulatory compliance, and quality performance initiatives while developing high-performing teams and fostering a culture of accountability and continuous improvement.

Our Values:
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team
Quality Performance & Program Management
  • Lead day-to-day operations for assigned quality programs, regions, projects, and lines of business, ensuring achievement of key quality measures and performance goals.
  • Monitor health plan quality metrics and ratings, identify performance gaps, and implement improvement initiatives to drive measurable outcomes.
  • Partner with regional and cross-functional stakeholders to develop and execute care gap closure and quality improvement strategies.
  • Analyze performance trends and communicate findings, risks, barriers, and recommendations to leadership, providers, and health plan partners.
  • Oversee quality data workflows and reporting processes to ensure accurate, complete, and timely submission of required data.
Provider & Health Plan Engagement
  • Lead meetings with health plans, IPA partners, providers, and operational stakeholders to review performance, address opportunities, and advance quality improvement initiatives.
  • Drive provider engagement and education efforts supporting HEDIS, Medicare Stars, NCQA measures, value-based care objectives, and compliant care gap closure activities.
  • Serve as a subject matter expert on quality measures, NCQA standards, and quality improvement best practices.
  • Present performance updates, recommendations, and best practices while maintaining strong relationships with health plans and external partners.
Leadership & Team Development
  •  Manage, mentor, and develop a team responsible for provider engagement, outreach, and quality improvement activities.
  • Lead recruitment, onboarding, performance management, coaching, and professional development efforts to build and retain a high-performing team.
  • Foster a culture of collaboration, accountability, continuous improvement, and service excellence in partnership with Human Resources and department leadership.
Compliance & Operational Excellence
  • Support payer audits, regulatory reviews, and delegated oversight activities while ensuring compliance with contractual, regulatory, and NCQA requirements.
  • Identify operational risks and barriers, implement corrective actions, and ensure consistent execution of quality initiatives across assigned markets and provider networks.
  • Participate in regional meetings and support organizational priorities, special projects, and other duties as assigned.
Education
  • Bachelor's degree in Healthcare Administration, Public Health, Business Administration, Nursing, or a related field preferred, or equivalent combination of education and progressively responsible experience.
  • Master's degree preferred.
Experience
  • At least 5 years of experience in healthcare quality improvement, HEDIS, Medicare Stars, population health, managed care, or related healthcare programs.
  • At least 2 years of leadership experience managing teams, projects, or quality improvement initiatives.
  • Experience working with health plans, IPAs, provider organizations, ACOs, MSOs, or value-based care programs preferred.
  • Experience driving measurable improvements in quality performance metrics and care gap closure initiatives.
  • Strong understanding of NCQA quality programs, HEDIS measures, and Medicare Star Ratings.
License/ Certifications (if applicable)
  • Lean Six Sigma certification preferred.
  • Certified Professional in Healthcare Quality (CPHQ) or other relevant healthcare certification preferred.
Knowledge, Skills, and Abilities
  • Strong knowledge of value-based care, managed care operations, HEDIS, Medicare Stars, NCQA standards, and quality improvement methodologies, including the ability to interpret and apply quality measure requirements.
  • Strong analytical, critical-thinking, and problem-solving skills with the ability to translate data into actionable strategies and operational improvements.
  • Excellent leadership, organizational, stakeholder management, and communication skills, with the ability to influence across matrixed teams and manage remote staff.
  • Proficiency in provider relationship management, presentation delivery, and cross-functional collaboration to drive performance outcomes.
  • Intermediate proficiency in Microsoft Excel, PowerPoint, reporting tools, and data analysis applications.
  • Demonstrated professionalism, accountability, integrity, attention to detail, and the ability to balance operational execution with organizational priorities.
Preferred Qualifications
  • Experience managing HEDIS, Medicare Stars, quality improvement, population health, provider performance, or regional quality operations programs.
  • Experience working within Medicare Advantage, Medicaid, Commercial, or other managed care environments.
  • Experience leading provider engagement, education, quality performance improvement, and cross-functional initiatives.
  • Experience supporting health plan delegation, audits, regulatory compliance activities, and quality-related reporting and analytics.
  • This position may oversee and collaborate with employees and partners in remote, office, and regional settings.
  • Travel up to 25% may be required to support assigned regions, provider groups, and corporate offices.
  • The employee must be able to attend meetings in person or virtually based on business needs.
  • The employee must comply with Astrana Health policies and procedures regarding patient privacy, protected health information, and all applicable federal and state regulations.

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