Remote Health Plan Quality & Compliance Manager (MI)

Jobgether; Michigan; Remote; USD 66,000 - 130,000; Full time

Benefits offered by this job

Remote work within Michigan

Full-time employment

Competitive benefits

Job summary

Jobgether is seeking a Health Plan Quality Program Management & Performance Manager based in the United States. The role focuses on quality management, performance monitoring, and regulatory compliance with NCQA and HEDIS standards.

Remote opportunity for a Michigan-based professional with Medicaid or health plan quality improvement experience. You will lead quality initiatives, coordinate audits and reporting, and collaborate with quality leadership and cross-functional teams to drive program

Qualifications

• 6+ years healthcare experience, incl. 4+ years in health plan quality improvement.
• Strong knowledge of HEDIS and NCQA standards.
• Experience managing quality improvement compliance deliverables with regulators.
• Familiarity with Michigan Medicaid or government-sponsored programs.
• Strong business writing, detailed reports and regulatory deliverables.
• Proficient data analysis, manipulation, interpretation, and reporting.
• Excellent communication and cross-functional collaboration skills.
• Ability to work independently in a fast-paced environment.

Responsibilities

• Lead quality program management to ensure regulatory compliance.
• Serve as SME for quality management projects and initiatives.
• Plan, implement, and maintain quality improvement activities.
• Prepare documentation for quality committee meetings and actions.
• Oversee audits, accreditation surveys, and NCQA activities.
• Monitor quality deliverables and present findings to leaders.
• Prepare narratives and interpret regulatory specifications.

Skills

Regulatory compliance

Data analysis

Project management

Reporting

Stakeholder communication

Education

CPHQ certification

RN license (active)

Bachelor's degree in health field

Tools

Microsoft Excel

Job description

Jobgether is seeking a Health Plan Quality Program Management & Performance Manager based in the United States. The role focuses on quality management, performance monitoring, and regulatory compliance with NCQA and HEDIS standards.

Remote opportunity for a Michigan-based professional with Medicaid or health plan quality improvement experience. You will lead quality initiatives, coordinate audits and reporting, and collaborate with quality leadership and cross-functional teams to drive program