Remote Quality Improvement Strategist for Provider Networks

UPMC; Northern (KY); Hybrid; USD 110,000 - 150,000; Full time

Job summary

UPMC Health Plan is seeking a remote Quality Improvement Provider Strategist to join the Quality Improvement team. This full-time role operates Monday–Friday during daylight hours EST and supports provider network performance across Medicare, Medicaid, and Commercial products.

The ideal candidate has HEDIS/quality improvement experience, advanced Excel and PowerPoint skills, and a clinical background (nursing preferred).

Qualifications

• Prior experience with HEDIS, quality improvement, or related healthcare quality initiatives.
• Advanced proficiency in Excel and PowerPoint.
• Clinical background, particularly nursing, preferred.

Responsibilities

• Analyze quality performance data at multiple levels to identify trends, risks, gaps, and improvement opportunities.
• Establish and communicate annual and quarterly quality priorities and provider level focus areas.
• Collaborate with line of business leaders and stakeholders to align quality initiatives into a cohesive provider-focused strategy.
• Deliver tailored insights to executive leadership and provider networks to support informed decisions.

Skills

HEDIS

Quality improvement

Data analysis

Education

Nursing background (preferred)

Tools

Excel

PowerPoint

Job description

UPMC Health Plan is seeking a remote Quality Improvement Provider Strategist to join the Quality Improvement team. This full-time role operates Monday–Friday during daylight hours EST and supports provider network performance across Medicare, Medicaid, and Commercial products.

The ideal candidate has HEDIS/quality improvement experience, advanced Excel and PowerPoint skills, and a clinical background (nursing preferred).