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Remote Cphq Jobs (NOW HIRING)

Humana

RN, Quality Assurance Professional

Certification in Healthcare Quality (CPHQ), Case Management (CCM), Utilization Management (CPUM ... This is a remote position. * Travel: Up to 5% travel is required for team engagement meetings ...

Humana

Associate Director, Quality Improvement

CPHQ (Certified Professional in Healthcare Quality) Certification. * Knowledge of QI methodologies ... This is a Remote position (the state of Ohio or driving distance to Columbus, OH) with travel

Humana

Associate Director, Quality Improvement

CPHQ (Certified Professional in Healthcare Quality) Certification. * Knowledge of QI methodologies ... This is a Remote position (the state of Ohio or driving distance to Columbus, OH) with travel

Jobs for Humanity

Quality Compliance Specialists

Salem, OR · Remote

$21.82 - $42.55/hr

Specialist, Quality Interventions/QI Compliance (Remote) Application Deadline: Open Until Filled ... Preferred License, Certification, Association Certified Professional in Health Quality (CPHQ ...

Humana

Associate Director, Quality Improvement

CPHQ (Certified Professional in Healthcare Quality) Certification. * Knowledge of QI methodologies ... This is a Remote position (the state of Ohio or driving distance to Columbus, OH) with travel

Minnesota Jobs

RN, Quality Assurance Professional

Certification in Healthcare Quality (CPHQ), Case Management (CCM), Utilization Management (CPUM ... This is a remote position. * Travel: Up to 5% travel is required for team engagement meetings ...

Centene

Quality Practice Advisor

Asheville, NC · On-site +1

$27.02 - $48.55/hr

CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS Registered ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Phsorg

Remote: Open to applicants in the United States, excluding CA, IL, ND, NY, WA, and WY. Hybrid: For ... CPHQ certification strongly preferred. Experience * 10+ years progressively responsible experience ...

Centene

Quality Practice Advisor

$27.02 - $48.55/hr

CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS Registered ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

Quality Improvement Project Manager

$70K - $126K/yr

Registered Nurse (RN), Licensed Practical Nurse, Licensed Clinical Social Worker (LCSW) or CPHQ ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

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Remote Cphq information

See salary details

$31K

$125.6K

$213.5K

How much do remote cphq jobs pay per year?

As of Sep 2, 2026, the average yearly pay for remote cphq in the United States is $125,600.00, according to ZipRecruiter salary data. Most workers in this role earn between $91,000.00 and $151,000.00 per year, depending on experience, location, and employer.

What is a Remote CPHQ?

A Remote CPHQ is a Certified Professional in Healthcare Quality who works from a remote location rather than onsite at a healthcare facility. This certification demonstrates expertise in healthcare quality management, including patient safety, regulatory compliance, and performance improvement. Remote CPHQs typically use digital tools to collaborate with healthcare teams, analyze data, and implement quality improvement initiatives from home or another offsite location. The remote aspect allows for flexibility while still maintaining high standards in healthcare quality practices.

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

To thrive as a Remote CPHQ, you need expertise in healthcare quality improvement, data analysis, and regulatory compliance, supported by a CPHQ certification and relevant healthcare experience. Familiarity with quality management software, electronic health records (EHRs), and reporting systems is typically required. Strong analytical thinking, attention to detail, and effective virtual communication skills help professionals excel in remote environments. These skills ensure that quality initiatives are implemented effectively, compliance standards are met, and collaborative efforts drive improved patient outcomes in healthcare organizations.

What are some unique challenges faced by Remote CPHQ professionals, and how can they be addressed?

Remote Certified Professionals in Healthcare Quality (CPHQ) often navigate challenges such as maintaining effective communication with cross-functional teams and staying updated with evolving healthcare regulations. Working remotely requires strong self-motivation, as well as proficiency in virtual collaboration tools to coordinate quality improvement initiatives. To succeed, it's important to establish regular check-ins with stakeholders, leverage digital project management platforms, and actively participate in online professional communities for ongoing education and support.

What is the difference between Remote Cphq vs Remote Clinical Research Coordinator?

AspectRemote CphqRemote Clinical Research Coordinator
CertificationsCPHQ (Certified Professional in Healthcare Quality)Typically requires clinical research certifications or experience, but not necessarily CPHQ
Work EnvironmentRemote, healthcare quality-focused rolesRemote or hybrid, clinical trial management and coordination
Industry UsageHealthcare quality and complianceClinical research and trial management
Common Search IntentQuality assurance, healthcare complianceClinical trial coordination, research management

While both roles may work remotely and involve healthcare, Remote Cphq focuses on healthcare quality and compliance, requiring CPHQ certification. In contrast, Remote Clinical Research Coordinators handle clinical trial logistics, often needing research-specific experience. Understanding these differences helps job seekers target the right roles based on their credentials and career goals.

What cities are hiring for Remote Cphq jobs?

Cities with the most Remote Cphq job openings:

What are the most commonly searched types of Cphq jobs?

The most popular types of Cphq jobs are:

What states have the most Remote Cphq jobs?

States with the most job openings for Remote Cphq jobs include:

What job categories do people searching Remote Cphq jobs look for?

The top searched job categories for Remote Cphq jobs are:

Remote Cphq jobs near you
Infographic showing various Remote Cphq job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $125,600 per year, or $60.4 per hour.

RN, Quality Assurance Professional

Humana

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 3 days ago. Applications are no longer accepted.

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 267 frontline employees who took The Breakroom Quiz

170th of 315 rated insurance

Job description

Become a part of our caring community
The RN, Quality Assurance Professional 2 serves as a clinical subject matter expert within Internal Audit, supporting audits across CenterWell, Care Management, Utilization Management, and other healthcare operations. You will work closely with audit professionals and business leaders and play a critical role in identifying opportunities for improvement, strengthening processes, and supporting Humana's commitment to high-quality care, accountability, and continuous improvement. The ideal candidate brings a strong clinical background and a passion for improving healthcare quality and outcomes through objective analysis and problem-solving. This unique role offers an opportunity to apply nursing expertise beyond direct patient care by influencing enterprise-wide improvements in clinical operations, regulatory compliance, and risk management.
  • Serve as the clinical subject matter expert supporting Internal Audit engagements across CenterWell, Care Management, Utilization Management, and other healthcare delivery functions.
  • Partner with audit professionals to provide clinical insight during audit planning, testing, and reporting activities, helping evaluate the effectiveness of key processes, controls, and compliance with regulatory, contractual, and organizational requirements.
  • Reviews clinical documentation, operational workflows, and quality management activities to identify potential risks, evaluate the effectiveness of controls, and recommend process improvements that enhance compliance, quality, and operational performance.

Use your skills to make an impact

Required Qualifications

  • An active, unrestricted, RN license.
  • Minimum of 3 years of clinical nursing experience, with demonstrated knowledge of care management, utilization management, population health, or healthcare operations.
  • Experience reviewing clinical documentation, healthcare processes, and operational workflows to assess compliance, quality, and effectiveness.
  • Knowledge of healthcare regulations, accreditation standards, and industry best practices, including CMS, NCQA, URAC or state and federal requirements.
  • Proficient in Microsoft Office Suite, including Word, Excel, and PowerPoint with the ability to support operational and audit activities.
  • Strong written and oral communication skills, with the ability to prepare clear, concise reports and collaborate effectively with stakeholders at all levels of the organization.

Preferred Qualifications

  • Certification in Healthcare Quality (CPHQ), Case Management (CCM), Utilization Management (CPUM), Internal Auditing (CIA), or related discipline.
  • Experience in managed care or health care administration.
  • Experience participating in audits, assessments, quality reviews, or compliance monitoring activities within care management, utilization management, or healthcare operations.

Additional Information

  • Workstyle: This is a remote position.
  • Travel: Up to 5% travel is required for team engagement meetings, which may occur outside your state of residence.
  • Typical Workdays and Hours: Monday - Friday; 8:00AM - 5:00 PM Eastern Time (ET).
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$65,000 - $88,600 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 11-18-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

What Humana employees say

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

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