Senior Quality Improvement Professional Jobs

Become a part of our caring community The Senior Quality Improvement Professional leads efforts to improve clinical quality and provider performance for the Humana Healthy Horizons in South Carolina Medicaid Plan. You will develop and implement cross-functional quality improvement initiatives, evaluate business processes and performance outcomes, and drive sustainable, measurable improvements. Reporting to the Quality Improvement Director, you will collaborate with internal and external stakeholders to advance a provider-focused culture of quality and performance excellence. You will manage complex projects and analyze diverse data sources to identify opportunities, inform strategy, and support organizational objectives. The Senior Quality Improvement Professional leverages data to lead quality improvement initiatives, monitor performance metrics, and support provider performance enhancement. This role collaborates with provider-facing teams to implement targeted interventions, develop educational resources, and drive achievement of quality and member experience goals. The position leads and participates in multidisciplinary committees, provides strategic clinical guidance on quality initiatives, and influences business decisions through data-driven insights. Operating with a high degree of independence, the Senior Quality Improvement Professional manages complex projects, exercises sound judgment, and recommends solutions to advance organizational objectives. Essential Role Responsibilities The Senior Quality Improvement Professional is responsible for improving clinical quality and performance outcomes among South Carolina network providers. Key responsibilities include: Partner with Provider Engagement, Network, and Contracting teams to implement clinical quality improvement strategies including education, training and performanc

Become a part of our caring community The Telephonic Quality Outreach Professional supports the EPSDT program requirements in a telephonic outreach environment by evaluating member needs and helping families achieve or maintain an optimal state of wellness. The Telephonic Outreach Care Coach Professional 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically work on straightforward moderate complexity assignments that are routine and structured in nature. The Telephonic Quality Outreach Professional employs a variety of strategies and techniques to coordinate services and resources that facilitate HEDIS gap closure and improve pediatric health outcomes. The supervisor limits decisions to defined parameters around work expectations, quality standards, priorities and timing, and supervises closely and/or works within established policies/practices and guidelines with minimal opportunity for deviation. Position Responsibilities: Telephonic outreach to close HEDIS gaps for Medicaid pediatric population Assist members in addressing barriers to care, including scheduling challenges and transportation needs, to support access to primary care and overall well-being Collaborate with EPSDT Senior Quality Improvement Professional and Coordinator related to strategic outreach to maximize HEDIS outcomes Collaborate with other departments Provide vaccine awareness and education following Bright Futures and EPSDT preventive health guidelines Empower member independence through education and outreach that promote ongoing self-sufficiency in managing preventive and primary care needs Other responsibilities as assigned Use your skills to make an impact Required Qualifications Unrestricted Licensed Practical Nurse (LPN) in

We anticipate the application window for this opening will close on - 8 Oct 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72+ million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life At Medtronic, we bring bold ideas forward with speed and decisiveness to put patients first in everything we do. In-person exchanges are invaluable to our work. We’re working a minimum of 5 days a week onsite as part of our commitment to fostering a culture of professional growth and cross-functional collaboration as we work together to engineer the extraordinary. In this exciting role as a Senior Supplier Quality Engineering Manager, you will have responsibility for leading teams of Supplier Quality Engineers located at our Medtronic Tempe Campus. Your team will be accountable for changes to existing supplied products and processes, as well as oversight of performance, improvement activities, and quality risk reductions initiatives. Our Global Quality Strategy is rooted in the Medtronic Mission and our Quality Policy. Being a 'trusted partner' means always putting patient safety first, upholding product quality, and maintaining the highest ethical standards in our business relationships and programs. Responsibilities may include the following and other duties may be assigned. Manage a team of Supplier Quality Engineers that are responsible for ensuring delivery of quality components, materials, and services i

Instawork is on a mission to create meaningful economic opportunities for skilled hourly professionals in communities around the globe. Our AI-powered labor marketplace helps local businesses scale, and enables global technology companies to push the frontiers of robotics and AI. Backed by world-class investors like Benchmark, Spark Capital, Craft Ventures, Greylock, Y Combinator, and others, we’re looking for exceptional talent to reimagine the way the world works. Senior Mechanical Engineer — Robotics Hardware Location - Bangalore Instawork Robotics Labs is building Instacore, our proprietary five-camera and IMU wearable capture rig. Hundreds of units operate across India every day, collecting real-world data used to train frontier Physical AI models. We are looking for a senior, mechanically focused engineer to own the complete hardware lifecycle for Instacore and future hardware products. This person will independently lead design, prototyping, manufacturing, testing, deployment, logistics, maintenance, and continuous improvement. What you’ll do - Own the mechanical design and development of Instacore and other robotics hardware from initial requirements through production and field deployment. - Create detailed CAD models, assemblies, engineering drawings, bills of materials, and manufacturing documentation. - Rapidly prototype and validate designs using 3D printing, machining, fabrication, and off-the-shelf components. - Design durable mounts, enclosures, fixtures, wearable components, packaging, and protective systems. - Own design for manufacturability, assembly, serviceability, reliability, and cost. - Improve cable routing, connector retention, strain relief, thermal management, ingress protection, and resistance to vibration and impact. - Design packaging and logistics processes that prevent damage during storage and transit. - Establish verification, stress-testing, quality-control, and acceptance-testing procedures. - Investigate field failures, d

Work Flexibility: Hybrid or Onsite **23 month fixed term contract** All benefits included Hybrid, Carrigtwohill, Cork Join Our Team as a Senior Engineer, Advanced Operations Are you an experienced and innovative engineering professional with a passion for advancing cutting-edge technologies in the medical field? We are looking for a proactive, results-driven Senior Engineer to support our NPI programs working on our Patient Specific Joint Replacement portfolio. In this role, you will develop solutions to technical challenges of moderate scope and complexity, while playing a key part in leveraging engineering techniques to ensure NPI launch excellence. You will also lead continuous improvement initiatives aimed at accelerating time to market, driving cost efficiencies, and expanding margins by implementing innovative additive technologies and processes that differentiate our products and give us a competitive edge in the market. Key Responsibilities: Innovative Technology Integration: Support the integration of cutting-edge additive manufacturing technologies for joint replacement products, optimizing efficiency and precision in accordance with Stryker's new product development and design transfer procedures. Relationship Building and Mentorship: Foster productive relationships both internally and externally, playing a pivotal role in team dynamics. Provide periodic guidance and training to team members, contributing to a culture of continuous learning and growth. Quality Assurance and Product Optimization: Oversee and ensure the quality of processes and products, aligning with operational standards and material specifications to deliver superior joint replacement pro

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Requisition Job Description Position Summary: The Pharmacy Network Regulatory Compliance Senior Advisor serves as the subject matter expert on applicable guidance and regulations and leads implementation and continuous improvement initiatives to ensure CVS/Caremark maintains compliance with current and emerging requirements affecting the Pharmacy Network division. This role partners with key functional leaders to translate regulatory requirements into operational processes and to initiate system enhancements needed to meet those requirements. The Senior Advisor proactively identifies, assesses, and escalates business risks and impacts to senior Pharmacy Network leadership, as appropriate. This position requires a strong understanding of local, state, and federal regulations and associated end-to-end processes. While the primary focus is on member and pharmacy network impacts, scope may expand to additional business areas as regulations and divisional responsibilities evolve. As part of regulatory issue resolution, the Senior Advisor serves as a key decision-maker for escalated client issues. Required Qualifications: Minimum of 7 years of professional experience, including experience in the health care industry. within a matrix reporting environment. Preferred Qualificatio

Airbnb was born in 2007 when two hosts welcomed three guests to their San Francisco home, and has since grown to over 5 million hosts who have welcomed over 2 billion guest arrivals in almost every country across the globe. Every day, hosts offer unique stays and experiences that make it possible for guests to connect with communities in a more authentic way. The Community You Will Join: As a senior member of our team, you will play a pivotal role in providing guidance and assistance to our Operation Specialists, ensuring they have the resources and knowledge they need to excel in their roles. Your expertise will be instrumental in resolving complex queries, offering insights, and mentoring junior team members as they navigate their responsibilities. Additionally, you will have the opportunity to take on challenging stretch assignments that push your skills to new heights and contribute to your professional growth. By actively driving process improvement initiatives, you'll have a direct impact on enhancing efficiency and effectiveness within our operations. Your leadership in queue management for the entire pod will be instrumental in ensuring smooth operations and timely resolution of issues. The Difference You Will Make: Strategic Guidance and Support: Provide mentorship and assistance to Operation Specialists, enhancing the quality of service delivery and promoting professional development. Process Optimization: Utilize your expertise to identify opportunities for improvement in workflows and operations, driving efficiency and productivity gains. Proactive Problem-solving: Take a proactive approach to problem-solving, addressing issues promptly and implementing innovative solutions to enhance operational effectiveness. A Typical Day: Luxe Onboarding & Visual Vetting: Along with having in-depth understanding of Luxe workflows, the incumbent will also be required to perform the following additional tasks Work closely with leads to assign daily work, monitoring

We anticipate the application window for this opening will close on - 28 Sep 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72+ million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life The Senior Process Engineer is responsible for providing support for multiple product families related to safety, quality, service, product cost, process improvements, and customer feedback across chemical, extrusion, textile, and biomedical manufacturing processes. This role leads and participates in cross-functional teams to achieve project goals, support continuous improvement initiatives, and drive manufacturing performance. Based at Medtronic's North Haven, Connecticut campus, a major manufacturing and engineering site supporting Surgical Innovations products, the Senior Process Engineer serves as a technical expert for production equipment and manufacturing processes. The role also supports new products transitioning from R&D into manufacturing, helping ensure successful product launch, operational readiness, and long-term manufacturing sustainability. At Medtronic, we bring bold ideas forward with speed and decisiveness to put patients first in everything we do. In-person exchanges are invaluable to our work. We’re working 5 days a week onsite as part of our commitment to fostering a culture of professional growth and cross-functional collaboration as we work together to engineer the extraordinary. The Senior Process Engi

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Help Transform the Future of Accounting Are you passionate about improving accounting processes, driving automation, and leading high-performing teams? Join our Accounting Center of Excellence and play a key role in modernizing accounting operations, strengthening financial controls, and supporting business growth. In this role, you'll lead accounting teams, improve processes, implement technology solutions, and partner across Finance to ensure accurate, efficient, and scalable financial operations. What You'll Do Lead accounting operations across areas such as payroll, service operations, clinical accounting, and the financial close process. Manage and develop accounting professionals, including offshore team members. Improve efficiency through process standardization, automation, and continuous improvement initiatives. Oversee month-end, quarter-end, and year-end close activities, ensuring accuracy and compliance. Partner with Finance and business leaders to solve accounting issues and enhance processes. Lead transformation projects, including workflow automation and SAP S/4HANA initiatives. Use data and analytics to improve reporting, controls, and decision-making. Coach and mentor team members to build a strong, high-performing organization. Identify opportunities to simplify processes and implement scalable s

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Senior Manager, Project Management is responsible for leading and overseeing Coordination of Benefits projects and operational initiatives that improve payment accuracy, reduce overpayments, enhance compliance, and drive process efficiency across the organization. This role manages a portfolio of complex, cross-functional projects and collaborates with stakeholders across Claims, Enrollment, Provider Services, Operations, Technology, Analytics, and Vendor Management to ensure successful delivery of strategic business objectives. The Senior Manager is accountable for defining project scope, objectives, timelines, resource requirements, and success measures while ensuring initiatives are delivered on time, within budget, and aligned with organizational goals. This role leverages data analytics and business intelligence to identify trends, assess risks, develop solutions, and implement process improvements that enhance operational performance and the provider and member experience. In addition to project leadership, the Senior Manager directly manages staff, providing day-to-day leadership, coaching, performance management, and professional development. Responsibilities include establishing team priorities, allocating resources, managing workload distribution, fostering collaboration, and creating a culture of accountability, innovation, and continuous improvement. The role

About the job Senior Backend Engineer |100% Remote We are searching for a seasoned Sr Backend Engineer who will be responsible for developing and maintaining our backend systems, ensuring their efficiency, scalability, and reliability. The ideal candidate has a strong background in PHP and Java, with optional experience in Golang and Node.js. You should be well-versed in working with databases such as MongoDB, Redis, and Postgres, and have a solid understanding of cloud technologies, specifically AWS. Responsibilities Design, develop, and maintain backend systems and APIs to support our application's functionality. Collaborate with cross-functional teams, including front-end developers, product managers, and designers, to deliver high-quality solutions. Write clean, scalable, and well-documented code that adheres to industry best practices and coding standards. Perform code reviews and provide constructive feedback to peers to ensure code quality and consistency. Optimize and improve the performance of existing backend systems. Troubleshoot and debug production issues, providing timely resolutions. Stay up-to-date with emerging technologies and industry trends, identifying opportunities for innovation and improvement. Collaborate with DevOps teams to ensure smooth deployment and operation of backend services in the AWS cloud environment. Requirements Bachelor's degree in Computer Science, Engineering, or a related field (or equivalent work experience). 5-10 years of professional experience as a Backend Engineer. Strong proficiency in Java/Golang is a must. Experience with Node js is a plus. In-depth knowledge of database technologies, including MongoDB, Redis, and Postgres. Solid understanding of cloud computing platforms, particularly AWS. Familiarity with containerization technologies such as Docker and orchestration tools like Kubernetes. Proficiency in writing efficient and optimized SQL queries. Experience with version control systems, such as Git. Excellent pr

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Waste & Error Certified Coding Manager is responsible for leading the Certified Coding Analyst and W&E Team Lead roles that conduct medical claim reviews and coding audits to identify billing errors, waste, abuse, fraud, and payment integrity opportunities. The Manager provides direct people leadership, establishes operational priorities, ensures consistent application of coding and billing requirements, and is accountable for team productivity, quality, service levels, compliance, and employee development. This role partners closely with the W&E team lead, who provides day-to-day technical guidance and subject matter support to the coding team. The Manager retains accountability for staffing, performance management, workload oversight, escalations, audit readiness, process improvement, and delivery of business outcomes. The position also represents the team in discussions with senior leadership, Medical Directors, Legal, Compliance, Analytics, Operations, and other Payment Integrity partners. Primary Responsibilities People Leadership & Team Development Lead, coach, and develop a team of Certified Coding Analysts and Senior Certified Coding Analysts. Establish clear role expectations, performance goals, productivity standards, quality requirements, and accountability measures. Conduct regular perfor

Who We Are Addepar is a global data and AI platform empowering investment professionals to turn complex financial information into actionable intelligence. Addepar unifies portfolio, market and client data in a total portfolio view and delivers AI-powered insights within investment and client workflows. More than 1,400 firms in nearly 60 countries use Addepar to manage and advise on nearly $9 trillion in assets. Its open platform integrates with nearly 650 software, data and consulting partners to power end-to-end investment operations across firms of all sizes and complexity. Addepar supports clients worldwide with offices in New York City, Salt Lake City, London, Edinburgh, Pune, Dubai, Geneva, Singapore and São Paulo. The Role Addepar has just launched an Alternatives Product offering that gives Addepar clients the option to have their Private Funds data extracted, processed, validated, and ingested directly from Private Fund documents for a more automated end-to-end solution for handling Alternatives on the platform. This white-glove solution combines proprietary machine learning technology that automatically extracts data from Private Funds documents and human-in-loop review to validate any documents that fail to pass confidence and data quality checks. As a Senior Lead of the Alternatives Data Operations, you will lead the operations function that is responsible for the human-in-loop review of Private Funds documents, ensuring clients' Alternatives data is processed, validated, and available in Addepar in a timely manner. You will manage a team of Alternatives Data Ops analysts who review Private Fund statements, modify data that has been incorrectly extracted by our machine learning models, and reprocess data within SLAs. In this role, you'll own the operational strategy, team performance, and continuous improvement of the Alternatives Data Ops function—a critical component of Addepar's Alternatives offering success. Your responsibilities will include b

Junior Fund Accountant – Dublin, Ireland (12‑Month Graduate Opportunity) Start your finance career with a leading global investment bank – via mthree Are you a recent finance or accounting graduate looking to launch your career with a top tier investment bank in Dublin? We’re hiring Junior Fund Accountants for a 12-month placement. This role combines hands-on industry experience with structured training through the mthree Academy, preparing you to excel in global fund accounting and investment operations. What you’ll do As a Junior Fund Accountant, you’ll support the delivery of high-quality accounting services for assigned funds and clients. Your responsibilities will include: Performing cash and asset reconciliations for assigned funds Reconciliating and allocating fund expenses accurately Preparing first draft fund performance reports for client review Contributing to service improvement initiatives, process efficiencies, and control enhancements Supporting senior colleagues on complex accounting items and escalations Answering standard client questions on fund reporting and accounting processes Helping ensure compliance with internal controls and operational standards Working collaboratively to support team and business objectives This role provides deep exposure to fund accounting processes, NAV components, financial reporting cycles, and operational fund controls. Training You Will Receive (mthree Academy) Before joining your client team, you will complete structured training designed to build your expertise across financial markets, accounting fundamentals, and fund operations. Core Curriculum Overview Banking & Market Foundations History and evolution of the global banking system Role of banks in financial markets Basel regulatory framework Regulatory compliance, governance & culture Financial crime compliance Professional skills: networking, communication, remote work readiness Funds Ind

Work Flexibility: Onsite It's Time to Join Stryker! Stryker is seeking a Manager, Robotics Platform Development to lead a growing engineering organization supporting the development and evolution of complex robotic medical technology. In this role, you will lead a multidisciplinary team spanning electrical engineering, systems engineering, product safety, and engineering contractors. You will focus on people leadership, organizational scalability, and engineering execution , ensuring teams are appropriately staffed, supported, and positioned to deliver complex platform development commitments. You will partner closely with project management and senior technical leaders, helping translate program priorities into executable plans while enabling technical leaders to remain focused on architecture, systems strategy, and technical excellence. What You Will Do People and Organizational Leadership Lead, coach, develop, and engage a multidisciplinary engineering organization supporting complex robotic platform development. Establish clear performance expectations, provide actionable feedback, and support career and professional development. Lead a blended organization of full-time employees and contractors, including workload planning, onboarding, integration, and day-to-day coordination. Support staffing and organizational planning as program and business needs evolve. Build a collaborative, accountable team culture focused on execution, quality, and continuous improvement. Engineering and Program Execution Drive execution across complex hardware and systems development activities, ensuring teams have the resources, priorities, and support needed to deliver program commitments. Partner with project and progr