Senior Quality Improvement Professional (Medicaid)

Location: Remote from South Carolina; must reside within 2 hours of Columbia, SC. Occasional business travel to Columbia and hirify.global offices is required, with 5–10% travel. Schedule: Monday through Friday, 8:30 AM–5:00 PM Eastern Time.

Salary: $78,400–$107,800 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare company providing insurance and healthcare services to Medicare and Medicaid members, families, individuals, and communities.

What you will do

• Lead clinical quality and provider performance improvement initiatives for the South Carolina Medicaid plan.
• Partner with Provider Engagement, Network, and Contracting teams on education, training, performance reporting, and targeted interventions.
• Analyze healthcare performance data to identify improvement opportunities and inform strategy.
• Lead and participate in cross-functional workgroups focused on HEDIS, CAHPS, and other performance measures.
• Support provider-focused CAHPS/ECHO and member experience initiatives.
• Collaborate with internal and external stakeholders and provide strategic clinical guidance on quality initiatives.

Requirements

• Bachelor’s degree.
• South Carolina residency and residence within 2 hours of Columbia, SC are required.
• At least 3 years of healthcare quality improvement experience, including HEDIS, CAHPS, or related performance measures.
• At least 2 years of provider-facing experience supporting quality and performance improvement programs.
• Managed care experience, preferably in South Carolina Medicaid.
• Experience analyzing and interpreting healthcare performance data, with strong communication, relationship-building, and stakeholder engagement skills.

Nice to have

• Advanced degree.
• Project management experience leading complex or high-impact initiatives.
• Knowledge of South Carolina Medicaid Managed Care requirements.

Culture & Benefits

• Remote work from home with occasional travel for training or meetings.
• Dedicated workspace and reliable internet connection required; minimum speeds are 25 Mbps download and 10 Mbps upload.
• Medical, dental, and vision benefits.
• 401(k) retirement savings plan, paid time off, company and personal holidays, and paid parental and caregiver leave.
• Short- and long-term disability, life insurance, and other whole-person well-being benefits.