Director, Quality Improvement (Healthcare)

Location: Remote with regular weekly travel to the office in Oklahoma City, Oklahoma; occasional travel to hirify.global offices may also be required.

Salary: $126,300–$173,700 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare and health insurance company serving Medicare, Medicaid, individual, family, military, and community populations through hirify.global and CenterWell services.

What you will do

• Lead the development, implementation, evaluation, and administration of quality improvement programs across all lines of business.
• Direct HEDIS, CAHPS, OHCA, quality withhold, and other required measure reporting and performance improvement activities.
• Oversee quality investigations, audits, monitoring, compliance operations, documentation, and reporting platforms.
• Manage quality improvement projects, including required Performance Improvement Projects, and drive strategies to improve population and health plan outcomes.
• Analyze KPI dashboards, healthcare data, claims, care coordination, and business intelligence outputs to identify trends, risks, disparities, and improvement opportunities.
• Collaborate with provider networks, community partners, governance committees, and cross-functional teams to implement programs and operational improvements.

Requirements

• Bachelor’s degree in public health, health administration, business administration, nursing, healthcare quality, or a related healthcare or clinical field.
• At least five years of healthcare quality improvement or quality assurance experience, including experience in an insurance or healthcare setting.
• At least three years of current or previous leadership experience, preferably leading quality improvement or compliance professionals.
• Knowledge of healthcare quality measures such as STARS and HEDIS, quality improvement methodologies, healthcare data analysis, and population health issues.
• Experience with provider relations and education, stakeholder engagement, strategic partnerships, analytical work, and Microsoft Word, Excel, and PowerPoint.
• Must be able to travel weekly to the Oklahoma City office and maintain a dedicated home workspace that protects member PHI and HIPAA information.

Nice to have

• Master’s degree in a relevant healthcare, public health, business, nursing, or healthcare quality field.
• CPHQ certification.
• Experience with value-based payment models, Medicaid, hirify.global systems, business cases, ROI assessment, and actionable performance recommendations.

Culture & Benefits

• Full-time schedule of 40 hours per week with a remote or hybrid home/office arrangement.
• Home internet requirements include at least 25 Mbps download and 10 Mbps upload speeds.
• Benefits include medical, dental, and vision coverage, a 401(k) plan, paid time off, holidays, parental and caregiver leave, disability coverage, and life insurance.
• Work supports whole-person well-being and continuous improvement of consumer healthcare experiences.