Senior Quality Improvement Professional in United States

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

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

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

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

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

This is where your work makes a difference. At Baxter, we believe every person—regardless of who they are or where they are from—deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job—you will find purpose and pride. Advancing Healthcare Through Innovation At Baxter, we are deeply connected by our mission. Every role at Baxter contributes to improving outcomes for patients around the world. As a Senior Manager, Manufacturing Engineering, you will play a critical leadership role in driving manufacturing excellence, supporting new product introductions, and helping deliver life-saving medical products with quality, efficiency, and innovation at the center of everything we do. This is an exciting opportunity for a strategic and hands-on engineering leader who thrives in a fast-paced manufacturing environment and is passionate about leading teams, driving continuous improvement, and enabling operational success. What You’ll Be Doing Lead and develop a team with varied strengths of manufacturing engineers and technicians, supporting a collaborative, inclusive, and achievement-focused culture. Provide coaching, mentorship, and professional development opportunities to support team growth and engagement. Partner wit

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. Summary The Senior Manager, Pharmacy Operations provides strategic leadership and site-level alignment for back-end mail-order pharmacy operations. This role is responsible for driving operational excellence, financial performance, compliance, talent development, and cross-functional collaboration while supporting the successful execution of enterprise initiatives and business objectives. A Brief Overview Manages day-to-day operations of pharmacy support staff by providing strategic leadership and oversight for pharmacy support operations. Develops and implements operational strategies, establishes performance metrics, and drives process improvements to contribute to strategic decision-making regarding pharmacy support initiatives and goals. Collaborates with stakeholders, such as pharmacists and healthcare providers, to ensure effective communication, efficient workflow coordination, and adherence to quality and safety standards. Fosters a supportive and productive work environment and facilitates professional development opportunities for the team. What you will do Provide strategic leadership and oversight of all site operations to ensu

Work Flexibility: Hybrid or Onsite Stryker is hiring a Senior Quality Engineer to join our Neurovascular division. This is a hybrid r ole based in Fremont, CA . As the Senior Design Quality Engineer , you will be actively involved in Product Risk Management, Post Market Surveillance, Design Control and Product Quality Improvement. You will be involved in a fast-paced mix of short design change efforts and will be responsible for product risk management and adherence to design control requirements throughout the product lifecycle. You will be responsible for ensuring that post market data and feedback is channeled into the risk management system throughout the product lifecycle. You will make regular use of problem-solving tools and statistical analysis to analyze and trend data and provide quality input into technical investigations, perform test method development and validation, design verification, risk assessment and design reviews. You will be responsible for supporting product testing and failure analysis, writing protocols and reports, creating and maintaining risk files and assessing the impact of necessary changes to our products. You will lead initiatives to increase sales and improve the customer experience of our devices. Neurovascular (NV) products push the boundaries of technology to meet ever increasing product performance requirements, making the goal of assessing and demonstrating, safety, performance and compliance an exciting challenge. What You Will Do Develop qualification plans, protocols, and reports for new products, existing products, components, and subassemblies. Execute product testing, inspection, verification, and validation activities to suppor

Work Flexibility: Hybrid or Onsite Stryker is hiring a Senior Quality Engineer to join our Neurovascular division. This is a hybrid r ole based in Fremont, CA or Salt Lake City, UT . As the Senior Design Quality Engineer , you will be actively involved in Product Risk Management, Post Market Surveillance, Design Control and Product Quality Improvement. You will be involved in a fast-paced mix of short design change efforts and will be responsible for product risk management and adherence to design control requirements throughout the product lifecycle. You will be responsible for ensuring that post market data and feedback is channeled into the risk management system throughout the product lifecycle. You will make regular use of problem-solving tools and statistical analysis to analyze and trend data and provide quality input into technical investigations, perform test method development and validation, design verification, risk assessment and design reviews. You will be responsible for supporting product testing and failure analysis, writing protocols and reports, creating and maintaining risk files and assessing the impact of necessary changes to our products. You will lead initiatives to increase sales and improve the customer experience of our devices. Neurovascular (NV) products push the boundaries of technology to meet ever increasing product performance requirements, making the goal of assessing and demonstrating, safety, performance and compliance an exciting challenge. What You Will Do Develop qualification plans, protocols, and reports for new products, existing products, components, and subassemblies. Execute product testing, inspection, verification, and validation activities to support design and quality objectives. Perform failure investigations and root cause anal

We anticipate the application window for this opening will close on - 29 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 Supplier Quality function partners with Contract Manufacturers (CMs), Original Equipment Manufacturers (OEMs), and critical suppliers to ensure the quality, compliance, and performance of externally manufactured products and components. This team works cross-functionally with Research & Development (R&D), Quality, Regulatory Affairs, and Operations to support product lifecycle activities, drive supplier performance improvements, and maintain compliance with applicable quality system and regulatory requirements. This position may be performed remotely anywhere within the United States. Travel up to 15% is required to support supplier audits, supplier performance reviews, business meetings, and cross-functional initiatives. The Senior Supplier Quality Engineer serves as the primary quality partner for strategic Contract Manufacturers and Original Equipment Manufacturers, ensuring supplier processes, products, and quality systems consistently meet Medtronic requirements. This role drives supplier quality performance, supports product and process changes, leads quality improvement initiatives, and provides technical quality guidance across supplier-related activities throughout the product lifecycle. Primary Responsi

Work Flexibility: Hybrid The Senior Quality Management System Specialist will help design, maintain, and continuously improve a quality management system that supports regulatory approval and business growth across global markets. You’ll collaborate across functions to ensure quality processes are not only compliant, but practical, efficient, and future‑ready. Activities include Quality System documentation, Internal Quality Agreements, Supplier Quality Agreements, and general QMS activities related to Mergers and Acquisitions. This role is Hybrid in Portage, Michigan . What You Will Do Support and maintain a compliant Quality Management System aligned with global medical device regulations to enable product certification and regulatory clearances. Develop and update quality system processes, procedures, and documentation to reflect business needs and regulatory expectations. Assess and quantify quality system requirements to optimize structure, integration, and scalability. Identify and implement continuous improvement opportunities that increase efficiency and effectiveness of quality processes. Support management review, quality planning forums, and related governance activities with data-driven inputs. Partner with stakeholders to ensure quality processes reflect actual operational activities, including support for new product development. Prepare for and support internal, external, and third‑party quality system audits, including responses and follow‑up actions. Contribute to quality system training content and delivery to ensure effective adoption across the organization. What You Will Need Bachelor’s degree in science, engineering, business, or a related discipline. <