Senior Manager, Quality (Healthcare Quality)

Location: Remote

Salary: $145,250–$165,000 base salary per year, plus bonus eligibility, equity, and benefits.

Company

hirify.global is a value-based oncology care company combining human support, technology, data science, automation, and AI to improve cancer-care outcomes and reduce costs.

What you will do

• Own HEDIS, Stars, contractual quality measures, and related campaigns across payer partnerships.
• Translate measure specifications and partner requirements into workflows covering member identification, tasking, outreach, roles, timelines, escalation, and reporting.
• Develop job aids, SOPs, training, enablement materials, campaign calendars, and repeatable quality playbooks.
• Lead quality initiatives including vaccinations, health risk assessments, in-home wellness assessments, preventive screenings, and transition-of-care measures.
• Analyze quality and operational data, define performance metrics, conduct root cause analyses, and recommend interventions.
• Partner with Data, Product, Care Teams, Clinical, Marketing, and Operations to validate reporting, improve execution, and scale quality programs through automation and AI.

Requirements

• 6+ years of experience in healthcare quality, quality operations, population health, value-based care, managed care, health plan operations, consulting, or a related field.
• Meaningful experience with HEDIS, Stars, payer quality measures, or other healthcare quality performance programs.
• Experience translating clinical, quality, or payer requirements into operational workflows for frontline teams.
• Strong project and program management skills across multiple concurrent campaigns and dependencies.
• Advanced Excel or Google Sheets skills, including large datasets, complex formulas, and data validation.
• Working proficiency with SQL and experience with BI tools such as Looker, Tableau, Power BI, or equivalent platforms.

Nice to have

• Experience designing member outreach campaigns, care-team workflows, tasking, job aids, or training.
• Experience with claims, eligibility, clinical, care management, or quality-measure datasets.
• Experience with NCQA HEDIS specifications, Stars programs, Medicare Advantage, Medicaid managed care, or risk adjustment.
• Experience building dashboards, automated reporting, or reusable quality analytics workflows.
• CPHQ, Lean Six Sigma, or related quality improvement or analytics training.

Culture & Benefits

• Remote work environment focused on improving cancer care and member outcomes.
• Bonus eligibility, equity, and benefits are included in the total compensation package.
• Core values include acting with members in mind, moving with purpose, and seeking diverse perspectives.
• Commitment to inclusion, equal opportunity, and challenging inequality in healthcare.