Remote Quality Improvement Specialist Jobs
Remote quality improvement specialist jobs are actively hiring across the U.S. at remote-first firms, distributed healthcare networks, and technology-driven organizations building out virtual quality teams. Companies currently posting remote openings include Molina Healthcare, Nascentia Health, and Guidehealth, with strong demand concentrated in healthcare, insurance, and software sectors. Scan the live roles below and apply to whichever ones fit.
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Showing 4 of 26+ Remote Quality Improvement Specialist jobs
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Can reside in any state. Will work EST hours
Experience: Managed Care, HEDIS, CAHPS, NCQA, Medicare/Medicaid/CHIP/Marketplace
Position Purpose: The Senior Quality Improvement Specialist is responsible for coordinating assigned regulatory, accreditation, clinical quality and/or service improvement programs. Functions as a leader for assigned health services initiatives handling multiple large-scale complex initiatives. Collaborates on national, regional and multi-plan initiatives. Develops programs in compliance with accreditation and regulatory requirements/ standards and monitors ongoing program performance to maintain compliance. Acts as a resource for training, policy and regulatory/accreditation interpretation.
- Leads and manages multiple complex initiatives that impact the quality or effectiveness of health care delivery and/or health care services provided to members.
- Ensures that clinical and service quality improvement programs and initiatives are compliant with applicable accreditation, state and federal requirements.
- Conducts an assessment of programs, initiatives and interventions to ensure goals and objectives were met and refine activities, as needed, to improve the effectiveness and improve outcomes.
- Conducts vendor oversight and management.
- Develops targeted activities to improve Star Ratings, HEDIS, CAHPS, HOS, provider satisfaction and other identified performance measures.
- Develops and implements project-related communication including, but not limited to, member/physician mailings, IVR scripts, emails, business plans, graphics, and maintains minutes and agendas.
- Participates in the development and maintenance of annual quality improvement program documents and evaluations, compliance audits, policies and procedures, and improvement activities.
- Develops internal reports to demonstrate progress on each initiative/project and presents to senior-level staff.
- Describes outreach initiatives, potential/experienced barriers and activities to resolve issues and improve outcomes.
- Leads and/or participates in multi-department/cross-functional committees and work groups which support key initiatives, prepares reports, data, agendas/minutes or other materials for committee presentation and management.
- Identifies areas of improvement within the company and works collaboratively with other departments to develop clinical and non-clinical performance improvement projects.
- Researches best practices, national and regional benchmarks, and industry standards.
- Develops collaborative relationships with contracted providers or provider groups to promote participation in quality improvement collaboratives to improve clinical care outcomes.
- May lead and/or participate in external activities, work groups or committees when applicable.
- Communicates programs, interventions and results to external entities in accordance with applicable program objectives, policies and procedures.
- Develops and/or maintains relationships with other external organizations to expand key partnerships.
- Assesses current industry trends and regulations for enterprise-wide adoption to assure quality and effectiveness of health care delivery and/or healthcare services provided to members.
- Performs all other duties as assigned.
- Performs other duties as assigned
- Complies with all policies and standards
Education: Bachelor’s Degree or equivalent experience with clinical license or Master’s Degree in related health field (i.e. MPH or MPA)
Certification/License: Valid state clinical license preferred
Certified Professional in Health Care Quality (CPHQ) preferred.
Experience: Minimum three years experience in a clinical/health care environment with related degree program
Three to five years managed care experience in a health care environment
Experience in compliance, accreditation, service or quality improvement
Complex project management experience
Experience with Medicare and/or NCQA preferred:Pay Range: $70,100.00 - $126,200.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Can reside in any state. Will work EST hours
Experience: Managed Care, HEDIS, CAHPS, NCQA, Medicare/Medicaid/CHIP/Marketplace
Position Purpose: The Senior Quality Improvement Specialist is responsible for coordinating assigned regulatory, accreditation, clinical quality and/or service improvement programs. Functions as a leader for assigned health services initiatives handling multiple large-scale complex initiatives. Collaborates on national, regional and multi-plan initiatives. Develops programs in compliance with accreditation and regulatory requirements/ standards and monitors ongoing program performance to maintain compliance. Acts as a resource for training, policy and regulatory/accreditation interpretation.
- Leads and manages multiple complex initiatives that impact the quality or effectiveness of health care delivery and/or health care services provided to members.
- Ensures that clinical and service quality improvement programs and initiatives are compliant with applicable accreditation, state and federal requirements.
- Conducts an assessment of programs, initiatives and interventions to ensure goals and objectives were met and refine activities, as needed, to improve the effectiveness and improve outcomes.
- Conducts vendor oversight and management.
- Develops targeted activities to improve Star Ratings, HEDIS, CAHPS, HOS, provider satisfaction and other identified performance measures.
- Develops and implements project-related communication including, but not limited to, member/physician mailings, IVR scripts, emails, business plans, graphics, and maintains minutes and agendas.
- Participates in the development and maintenance of annual quality improvement program documents and evaluations, compliance audits, policies and procedures, and improvement activities.
- Develops internal reports to demonstrate progress on each initiative/project and presents to senior-level staff.
- Describes outreach initiatives, potential/experienced barriers and activities to resolve issues and improve outcomes.
- Leads and/or participates in multi-department/cross-functional committees and work groups which support key initiatives, prepares reports, data, agendas/minutes or other materials for committee presentation and management.
- Identifies areas of improvement within the company and works collaboratively with other departments to develop clinical and non-clinical performance improvement projects.
- Researches best practices, national and regional benchmarks, and industry standards.
- Develops collaborative relationships with contracted providers or provider groups to promote participation in quality improvement collaboratives to improve clinical care outcomes.
- May lead and/or participate in external activities, work groups or committees when applicable.
- Communicates programs, interventions and results to external entities in accordance with applicable program objectives, policies and procedures.
- Develops and/or maintains relationships with other external organizations to expand key partnerships.
- Assesses current industry trends and regulations for enterprise-wide adoption to assure quality and effectiveness of health care delivery and/or healthcare services provided to members.
- Performs all other duties as assigned.
- Performs other duties as assigned
- Complies with all policies and standards
Education: Bachelor’s Degree or equivalent experience with clinical license or Master’s Degree in related health field (i.e. MPH or MPA)
Certification/License: Valid state clinical license preferred
Certified Professional in Health Care Quality (CPHQ) preferred.
Experience: Minimum three years experience in a clinical/health care environment with related degree program
Three to five years managed care experience in a health care environment
Experience in compliance, accreditation, service or quality improvement
Complex project management experience
Experience with Medicare and/or NCQA preferred:Pay Range: $70,100.00 - $126,200.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
See All 26 Remote Quality Improvement Specialist Jobs
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Find JobsRemote Quality Improvement Specialist Job Market
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What Employers Look For
The qualifications that appear most often in remote quality improvement specialist jobs.
- Bachelor's degree in healthcare administration, business, nursing, or a related field
- Experience with quality improvement methodologies such as Lean, Six Sigma, or PDSA
- Familiarity with regulatory and accreditation standards such as Joint Commission or CMS requirements
- Proficiency in data analysis tools including Excel, Tableau, or electronic health record reporting modules
- Certification such as CPHQ, Six Sigma Green Belt, or Certified Quality Improvement Associate preferred
- Strong written and verbal communication skills for presenting findings to clinical or operational leadership
Tips for Your Remote Quality Improvement Specialist Job Search
Apply early to remote roles that fit
Migrate Mate lists remote quality improvement specialist openings from across the U.S. in one place, so you can find roles that match your background and apply directly without sorting through unrelated listings.
Demonstrate async communication skills upfront
Remote quality improvement employers prioritize written clarity because most coordination happens over email, Slack, or project management tools. Write your cover letter and any application responses as if they double as work samples, because remote hiring managers treat them that way.
Quantify process improvements in your resume
Remote employers can't observe your work style, so your resume needs to do the work. Lead each bullet with a measurable outcome: error rates reduced, cycle times shortened, or audit findings resolved. Specific numbers signal the self-direction that remote quality roles require.
Target remote-native quality frameworks in interviews
Prepare to discuss how you run improvement cycles, track metrics, and communicate findings without in-person meetings. Fluency with tools like Smartsheet, Tableau, or SharePoint for remote quality documentation signals to interviewers that you won't need hand-holding to function in a distributed environment.
Remote Quality Improvement Specialist Jobs: Frequently Asked Questions
How do I get a remote quality improvement specialist job?
Focus on companies with distributed quality teams, such as telehealth platforms, managed care organizations, and SaaS companies with compliance requirements. Remote employers screen for self-directed project management, clear written communication, and proficiency with collaboration tools like Jira, Confluence, or Microsoft Teams. Candidates who can show documented process improvements, measurable outcomes, and experience working across time zones without in-person oversight have a real edge.
Which companies hire remote quality improvement specialists?
Employers currently hiring remote quality improvement specialists include Molina Healthcare, Nascentia Health, and Guidehealth, per current remote listings on Migrate Mate as of August 2026. Remote openings for this role are concentrated at health plans, healthcare technology firms, remote-first consulting groups, and large enterprises running distributed quality and compliance functions.
Can you get a remote quality improvement specialist job with no experience?
Yes, but remote entry-level roles are harder to land because employers expect you to self-manage from day one without on-site mentorship. Your best path is targeting smaller telehealth startups or nonprofit health organizations, which are more open to developing junior talent. Showing a process improvement project, a quality-focused certification like CPHQ or a Lean Six Sigma yellow belt, and strong written communication skills all help open the door.
Do you need a degree for remote quality improvement specialist jobs?
Not always. Many remote employers value demonstrated results over credentials, particularly in healthcare technology and insurance. If you can show measurable process improvements, familiarity with quality frameworks like PDSA or Lean, and proficiency with data tools used to track outcomes, some employers will weigh that alongside or instead of a formal degree, especially for roles that are more analyst-oriented than clinical.
Which industries hire the most remote quality improvement specialists?
The sectors hiring the most remote quality improvement specialists are Healthcare & Medical Services, based on current remote listings on Migrate Mate as of August 2026. These industries rely on distributed quality teams to maintain compliance standards, accreditation requirements, and performance benchmarks without requiring staff to be on-site.
See All 26 Remote Quality Improvement Specialist Jobs
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