Clinical Quality Analyst Jobs
Clinical Quality Analyst jobs are open across hospitals, health systems, managed care organizations, and government health agencies, from entry-level to senior and lead, with specializations in HEDIS measurement, accreditation readiness, and clinical documentation improvement. Scan the live roles below and apply to whichever ones fit.
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Showing 5 of 12+ Clinical Quality Analyst jobs
This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.
Responsible for ensuring the development and implementation of the annual accreditation preparedness plan that meets or exceeds required compliance with URAC, ACHC and NABP standards across pharmacy and wholesale locations. Work with Pharmacy Operations, distribution and licensing to develop an ongoing readiness and quality improvement strategy to ensure ongoing compliance.
This position contributes to the departmental objectives of maintaining operational conformance with established quality standards, regulatory, accreditation and contractual requirements, streamlining business processes, and using continuous quality improvement methodologies to identify opportunities for improvement.
This position involves the use of Personal Health Information (PHI).
This position is full time Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8am - 5pm. It may be necessary, given the business need, to work occasional overtime.
This will be on the job training and the hours will be during normal business hours.
Primary Responsibilities
- Support on-line ACHC applications, maintenance attestations, and organizational change notifications.
- Identify and coordinate with business leads and Subject Matter Experts to obtain required evidence, evaluate for ACHC completeness.
- Overcome challenges to obtaining needed information, prepare for ACHC surveys, including readiness reviews, mock surveys, operational walkthroughs, record sampling, document validation, and staff preparation.
- Convert ACHC standards into standards-to-evidence trackers, and develop and manage ACHC readiness plans, project timelines, gap analyses, policy assessments, dashboards, and other tools supporting ongoing compliance.
- Proactively identify quality risks, communicate potential barriers to the functional areas; assist functional areas with the development of action plans to address risks, gaps, root causes, and/or barriers.
- Connect with leaders from business segments and staff to ensure continuous accreditation compliance.
- Develop and maintain training modules and staff education for ACHC-accredited areas.
- Act as Subject Matter Expert (SME) in the development and documentation of Quality Improvement Projects (QIPs), Corrective Action Plans (CAPs) and Quality Improvement Activities (QIAs) for ACHC and other accrediting bodies.
- Prepare, facilitate and attend ACHC onsite/virtual accreditation surveys and any onsite monitoring visits, and coordinate responses to findings and plans of correction.
- Interpret and operationalize ACHC standards and applicable requirements and communicate standard updates and their impact to the business.
- Support other accreditation onsite audits as applicable (URAC, NABP).
- Educate, motivate, and/or influence others (e.g., leadership, other stakeholders, including those for whom there is no direct line of authority) to understand the overall scope, overcome potential barriers, and engage in and commit to the process.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- High School Diploma / GED
- Must be 18 years of age OR older
- 3+ years of experience in quality auditing, healthcare compliance, pharmacy operations, OR pharmacy fulfillment experience
- Proficiency in Microsoft Excel, Word, and PowerPoint
- May require travel by plane or car, with minimal notice, based on accrediting agency policies.
- Ability to travel up to 25% of the time - domestic
- Requires a valid driver's license.
- Ability to work full time Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8am - 5pm. It may be necessary, given the business need, to work occasional overtime.
Preferred Qualifications:
- Experience in a managed care setting with responsibility for quality management and / OR regulatory compliance
- Project management experience
- Experience interpreting federal and state regulatory OR accreditation requirements
- Certified Professional in Healthcare Quality (CPHQ) credential OR other auditor program
- Experience collaborating with external clients and stakeholders.
Telecommuting Requirements:
- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
Soft Skills:
- Strong interpersonal skills, including positive assertiveness, professional communication, relationship building, and effective written and verbal communication
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.
Responsible for ensuring the development and implementation of the annual accreditation preparedness plan that meets or exceeds required compliance with URAC, ACHC and NABP standards across pharmacy and wholesale locations. Work with Pharmacy Operations, distribution and licensing to develop an ongoing readiness and quality improvement strategy to ensure ongoing compliance.
This position contributes to the departmental objectives of maintaining operational conformance with established quality standards, regulatory, accreditation and contractual requirements, streamlining business processes, and using continuous quality improvement methodologies to identify opportunities for improvement.
This position involves the use of Personal Health Information (PHI).
This position is full time Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8am - 5pm. It may be necessary, given the business need, to work occasional overtime.
This will be on the job training and the hours will be during normal business hours.
Primary Responsibilities
- Support on-line ACHC applications, maintenance attestations, and organizational change notifications.
- Identify and coordinate with business leads and Subject Matter Experts to obtain required evidence, evaluate for ACHC completeness.
- Overcome challenges to obtaining needed information, prepare for ACHC surveys, including readiness reviews, mock surveys, operational walkthroughs, record sampling, document validation, and staff preparation.
- Convert ACHC standards into standards-to-evidence trackers, and develop and manage ACHC readiness plans, project timelines, gap analyses, policy assessments, dashboards, and other tools supporting ongoing compliance.
- Proactively identify quality risks, communicate potential barriers to the functional areas; assist functional areas with the development of action plans to address risks, gaps, root causes, and/or barriers.
- Connect with leaders from business segments and staff to ensure continuous accreditation compliance.
- Develop and maintain training modules and staff education for ACHC-accredited areas.
- Act as Subject Matter Expert (SME) in the development and documentation of Quality Improvement Projects (QIPs), Corrective Action Plans (CAPs) and Quality Improvement Activities (QIAs) for ACHC and other accrediting bodies.
- Prepare, facilitate and attend ACHC onsite/virtual accreditation surveys and any onsite monitoring visits, and coordinate responses to findings and plans of correction.
- Interpret and operationalize ACHC standards and applicable requirements and communicate standard updates and their impact to the business.
- Support other accreditation onsite audits as applicable (URAC, NABP).
- Educate, motivate, and/or influence others (e.g., leadership, other stakeholders, including those for whom there is no direct line of authority) to understand the overall scope, overcome potential barriers, and engage in and commit to the process.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- High School Diploma / GED
- Must be 18 years of age OR older
- 3+ years of experience in quality auditing, healthcare compliance, pharmacy operations, OR pharmacy fulfillment experience
- Proficiency in Microsoft Excel, Word, and PowerPoint
- May require travel by plane or car, with minimal notice, based on accrediting agency policies.
- Ability to travel up to 25% of the time - domestic
- Requires a valid driver's license.
- Ability to work full time Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8am - 5pm. It may be necessary, given the business need, to work occasional overtime.
Preferred Qualifications:
- Experience in a managed care setting with responsibility for quality management and / OR regulatory compliance
- Project management experience
- Experience interpreting federal and state regulatory OR accreditation requirements
- Certified Professional in Healthcare Quality (CPHQ) credential OR other auditor program
- Experience collaborating with external clients and stakeholders.
Telecommuting Requirements:
- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
Soft Skills:
- Strong interpersonal skills, including positive assertiveness, professional communication, relationship building, and effective written and verbal communication
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Clinical Quality Analyst Jobs by Experience Level
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Find Clinical Quality Analyst JobsClinical Quality Analyst Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in clinical quality analyst jobs.
- Bachelor's degree in health administration, nursing, or a related clinical or health sciences field
- Experience with HEDIS measure collection, abstraction, or reporting for NCQA accreditation
- Proficiency in electronic health record platforms such as Epic, Cerner, or Meditech
- Knowledge of Joint Commission, CMS, or NCQA accreditation and regulatory standards
- Data analysis skills using SQL, Excel, Tableau, or comparable reporting tools
- CPHQ certification or active pursuit of Certified Professional in Healthcare Quality credential
Tips for Your Clinical Quality Analyst Job Search
Align your resume to specific frameworks
Hiring managers for clinical quality analyst roles scan for named frameworks like HEDIS, NCQA, or Joint Commission standards. List the specific measures you've worked on, not just broad quality improvement experience, so your resume clears the first filter.
Apply early to roles that fit
Migrate Mate lists clinical quality analyst openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Tailor your application to payer versus provider roles
Payer-side roles emphasize HEDIS reporting and population health analytics, while provider-side positions focus on chart audits and accreditation. Read each job description carefully and mirror its language in your cover letter and resume summary.
Highlight data tools relevant to quality reporting
Many postings require proficiency in SQL, Tableau, or electronic health record platforms like Epic or Cerner. Name the specific tools you have used and the reporting outputs you built, not just that you are comfortable with data.
Prepare case studies for behavioral interviews
Interviewers frequently ask you to walk through a quality improvement project end to end. Prepare at least two examples that cover problem identification, data collection method, intervention, and measurable outcome so you can answer confidently without memorizing scripts.
Negotiate using role-specific credentials as leverage
Certifications like CPHQ or Certified Professional in Healthcare Quality give you a concrete reason to push toward the higher end of an offer range. Raise them explicitly in salary conversations rather than waiting for the employer to notice them.
Clinical Quality Analyst Jobs: Frequently Asked Questions
Which companies are hiring the most clinical quality analysts?
The most active employers for clinical quality analysts right now are FMOL Health, Alliance Health Plan, and Optum, and the most openings are in Louisiana, California, and North Carolina, based on current listings on Migrate Mate as of November 2026. Health systems, managed care organizations, and government health agencies consistently post the highest volume of these roles.
How many clinical quality analyst jobs are remote?
About 71% of clinical quality analyst openings are fully remote or hybrid as of November 2026, reflecting broad adoption of remote work in healthcare analytics and reporting functions. Roles focused on HEDIS data abstraction, population health reporting, and quality metrics analysis tend to be the most remote-friendly, while positions requiring on-site chart review or direct clinical staff engagement are more likely to require in-person presence.
How do you become a clinical quality analyst?
Start with a bachelor's degree in health administration, nursing, public health, or a related field, then gain experience in a clinical or health data setting such as a hospital, health plan, or medical group. Build familiarity with HEDIS measures, accreditation standards, and EHR platforms. Earning a CPHQ certification strengthens your candidacy significantly. Many analysts move into the role from medical coding, clinical documentation, or health informatics positions.
Can you get a clinical quality analyst job with little experience?
Yes, entry-level clinical quality analyst positions exist, particularly at health systems and managed care organizations that train analysts internally. Employers often accept candidates with strong health data coursework, an internship in a quality or compliance department, or prior work as a medical coder, care coordinator, or clinical abstractor. Demonstrating knowledge of HEDIS or Joint Commission standards in your application materials helps offset limited direct experience.
What does the clinical quality analyst interview process look like?
Most processes involve an initial phone screen with a recruiter, followed by a panel or one-on-one interview with the quality department manager and sometimes a data or clinical team member. Expect behavioral questions about past quality improvement projects, technical questions on HEDIS or accreditation workflows, and occasionally a short take-home exercise involving data review or a mock quality report. References and a background check typically close the process.
Where can I find and apply to clinical quality analyst jobs?
You can find and apply to clinical quality analyst jobs on Migrate Mate, which lists current openings from across the United States. Search for roles that match your experience level and specialization, then apply directly to each listing that fits. Listings are updated regularly, so checking back frequently gives you access to newly posted positions before they fill.
See All 12 Clinical Quality Analyst Jobs
Find roles that match your experience and apply in just a few clicks.
Find Clinical Quality Analyst Jobs