Quality Improvement Professional (Healthcare Quality)

Location: Remote Illinois, United States; occasional travel to the Schaumburg office 2–4 times yearly for state and CMS mock audits, with additional travel to Louisville possible during CMS audits. Core work hours are Monday–Friday, typically 8:00am–5:00pm 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 insurance company serving Medicare, Medicaid, families, individuals, military personnel, and communities.

What you will do

• Research internal and external best practices and establish benchmark data.
• Conduct CMS and state audits covering HRA compliance, critical incidents, post-discharge contacts, and transitions of care.
• Validate source systems for universe and state reports and prepare, present, and navigate audit cases.
• Develop and review internal quality metrics and support process improvement initiatives.
• Collaborate with managers, senior care coordinators, and care coordination staff on audit remediation.
• Participate in quality committees, interrater reliability meetings, root cause analysis, and audit-scoring standard development.

Requirements

• Bachelor's degree.
• At least 2 years of experience in process improvement, compliance measures, auditing practices, or Medicaid/Medicare care coordination.
• Must be located in Illinois for the remote role; travel to Schaumburg and occasionally Louisville is required.
• Strong analytical skills with the ability to manipulate and interpret data.
• Comprehensive knowledge of Microsoft Word, Excel, and PowerPoint.
• Ability to work within structured contractual compliance timelines and meet occasional short-turnaround deadlines.

Nice to have

• Knowledge of HEDIS, Stars, CMS, and healthcare quality programs.
• Experience with Medicaid or Medicare guidelines.
• Residence in Illinois.
• Comfort working with tight deadlines in a fast-paced environment.

Culture & Benefits

• Remote work with occasional travel for training, meetings, and state or federal audits.
• Dedicated workspace and internet service with at least 25 Mbps download and 10 Mbps upload speeds are required.
• Medical, dental, and vision coverage.
• 401(k) retirement savings plan, paid time off, holidays, parental and caregiver leave, disability coverage, and life insurance.
• Work supports the protection of member PHI and HIPAA information.