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Vice President Healthcare Quality Management Jobs

Porter Novelli

Vice President - Healthcare

New York, NY · On-site

$140K - $180K/yr

The Role The VP Healthcare will join a dynamic Healthcare & Pharmaceutical team. This particular ... The work is an interesting blend of product, corporate, advocacy and issues management. What you ...

Gentiva

VP Health System Partnerships

Atlanta, GA · On-site

About You Education/Experience: * 10+ years in healthcare BD, managed care, or strategic ... Fluency in hospital quality metrics (readmissions, LOS, HCAHPS), care transition dynamics, post ...

ReviveRX and Ways2Well

VP of Quality

Houston, TX · On-site

Collaborating with innovative pharmacists, healthcare providers, and pharmaceutical manufacturers ... CAPA management, deviation and nonconformance management, change control, document and record ...

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$43.5K

$157.5K

$277.5K

How much do vice president healthcare quality management jobs pay per year?

As of May 28, 2026, the average yearly pay for vice president healthcare quality management in the United States is $157,532.00, according to ZipRecruiter salary data. Most workers in this role earn between $115,000.00 and $190,000.00 per year, depending on experience, location, and employer.

What is the difference between Vice President Healthcare Quality Management vs Healthcare Quality Director?

AspectVice President Healthcare Quality ManagementHealthcare Quality Director
CredentialsMaster's degree in healthcare administration, quality management, or related field; certifications like CHC or CPHQBachelor's or Master's degree; certifications like CPHQ often preferred
Work EnvironmentExecutive leadership setting, strategic planning, cross-departmental oversightOperational management, overseeing quality improvement projects, staff supervision
Employer & Industry UsageHospitals, health systems, healthcare organizations at executive levelHospitals, clinics, healthcare organizations at managerial level

The Vice President Healthcare Quality Management focuses on strategic leadership and policy development at an executive level, while the Healthcare Quality Director handles day-to-day quality improvement initiatives and staff management. Both roles require relevant certifications and experience but differ mainly in scope and seniority.

What cities are hiring for Vice President Healthcare Quality Management jobs? Cities with the most Vice President Healthcare Quality Management job openings:
What are the most commonly searched types of Healthcare Quality Management jobs? The most popular types of Healthcare Quality Management jobs are:
What job categories do people searching Vice President Healthcare Quality Management jobs look for? The top searched job categories for Vice President Healthcare Quality Management jobs are:
Vice President Healthcare Quality Management jobs near you
Infographic showing various Vice President Healthcare Quality Management job openings in the United States as of May 2026, with employment types broken down into 2% Locum Tenens, 4% Internship, 37% Full Time, 2% Part Time, and 55% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $157,532 per year, or $75.7 per hour.
Regional VP, Health Services - Medicaid

Regional VP, Health Services - Medicaid

Humana

Louisville, KY • Hybrid

$327.70K - $450.60K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 hours ago

Humana rating

7.9

Company rating: 7.9 out of 10

Based on 250 frontline employees who took The Breakroom Quiz

155th of 258 rated insurance

Job description

Become a part of our caring community
The Regional VP, Health Services relies on medical background to create and oversee clinical strategy for the region. The Regional VP, Health Services requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide.

The Regional VP, Health Services will provide medical leadership and strategy for the Health Services Operations with fiscal responsibility for trend management.

Oversee regional utilization management and case management for inpatient cases (acute care hospital, LTAC, Acute rehab, SNF) according to the Humana Medicare Model of Care.

Participate in Quality Operations including chair Quality Management Committee, complete initial peer review on quality of care complaints, complete peer-to-peer written and verbal communications.

Oversee administrative budget for regional HSO & Quality Improvement including approve/deny expense reports & requisition requests for department members.

Oversee Quality Improvement and HEDIS/STARS metrics improvement with PCP offices and IPAs.

Participate in regional level committees and meetings setting medical necessity strategies.

Provide oversight and direction for the implementation of regional clinical programs and strategies, as well as, developing and implementing market level strategies.

Manage internal operational/functional relationships related to profitability.

Assist with network development and provider contracting with various providers and ancillary providers.

Serve as clinical liaison with inpatient facilities and joint operating committees to maintain facility relationship and problem solve; especially reviewing contracts as to clinical services.

Well-versed on financial aspects of various levels of risk bearing contracts and possess the ability to gain traction and adoption of the providers.

Ability to thrive in a highly matrix environment.


Use your skills to make an impact

Required Qualifications

MD or DO degree

8 or more years of management experience

A current and unrestricted license in at least one jurisdiction and willing to obtain license, as required, for various states in region of assignment

Board Certified in an approved ABMS Medical Specialty

Excellent communication skills

5 years of established clinical experience

Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products

Possess analysis and interpretation skills with prior experience leading teams focusing on quality management, utilization management, discharge planning and/or home health or rehab

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Hybrid work schedule, with three days per week onsite at the Waterside Office, located at 101 E. Main Street, Louisville, Kentucky, and two days per week working from home.

Candidates must hold or be willing to obtain a valid Kentucky medical license and reside or be willing to relocate to Kentucky.

Preferred Qualifications

Medical management experience, working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.

Internal Medicine, Family Practice, Geriatrics, Hospitalist, ER, PM&R clinical specialists

Master's Degree

#PhysicianCareers

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.


$327,700 - $450,600 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
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.

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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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