Quality Improvement - Critical Incident (Healthcare)

Location: Remote, Illinois, United States. Occasional travel to hirify.global offices for training or meetings may be required. Core working hours are Monday–Friday, typically 8:00 a.m.–5:00 p.m. Central Standard Time.

Salary: $65,000–$88,600 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare and health insurance company serving Medicare, Medicaid, families, individuals, military personnel, and communities.

What you will do

• Monitor critical incident oversight, care coordination activity, documentation, and case closure.
• Collaborate with Care Coordinators and leadership to determine risk-mitigation strategies.
• Prepare monthly state reports, quarterly audit support, Illinois Quality Improvement Committee reporting, and the annual quality report.
• Review incident classifications, conduct compliance and quality audits, and participate in root cause analysis.
• Develop and review quality metrics, policies, procedures, and job aids.
• Provide training and education on critical incident updates and process improvements.

Requirements

• Bachelor’s degree.
• At least 2 years of experience in process improvement, compliance measurement, auditing, or Medicaid/Medicare care coordination.
• Experience in care coaching and/or care coordination.
• Strong oral, written communication, presentation, analytical, and data interpretation skills.
• Must be able to work remotely from Illinois and maintain Central Standard Time working hours.
• Dedicated home workspace and internet service meeting minimum speeds of 25 Mbps download and 10 Mbps upload.

Nice to have

• Knowledge of critical incident reporting.
• Experience with Medicaid or Medicare guidelines.
• Attention to detail and comfort working with tight deadlines in a fast-paced environment.

Culture & Benefits

• Remote work with occasional office travel for training or meetings.
• Medical, dental, and vision insurance.
• 401(k) retirement savings plan.
• Paid time off, company and personal holidays, and paid parental and caregiver leave.
• Short- and long-term disability coverage, life insurance, and additional wellness benefits.