Senior Healthcare Quality Analyst (QI / Compliance / HEDIS)

Senior Quality Improvement Analyst (Healthcare Compliance & Interventions) Location: Remote (US) Industry: Healthcare / Managed Care / Health Insurance Function: Quality Improvement, Compliance, Healthcare Analytics Level: Senior

Overview

Join a high-impact healthcare quality team focused on improving patient outcomes, ensuring regulatory compliance, and driving continuous improvement across care programs. This role sits at the intersection of data analysis, regulatory standards, and healthcare quality , where you’ll lead initiatives that directly influence performance metrics, accreditation readiness, and member care standards. What You’ll Do

• Lead and support

quality improvement (QI) initiatives across clinical and compliance programs

• Analyse and interpret

healthcare performance data to identify trends and improvement opportunities

• Develop reports, dashboards, and visualisations to track

quality metrics and outcomes

• Collaborate cross-functionally to

monitor, evaluate, and enhance care quality programs

• Ensure alignment with

regulatory requirements and accreditation standards (e.g. NCQA)

• Prepare documentation and insights for

audits, surveys, and compliance reviews

• Conduct both

quantitative and qualitative analysis to support decision-making

• Identify risks and develop

actionable improvement plans

• Mentor junior analysts and provide guidance on projects and initiatives

What You Bring

• 3+ years’ experience in

healthcare , including 2+ years in quality improvement or managed care

• Strong analytical skills with experience in

data analysis, reporting, and performance measurement

• Experience working with

healthcare quality frameworks (e.g. HEDIS, STARS, NCQA)

• Advanced skills in

Excel (data analysis, reporting) and process mapping tools (e.g. Visio)

• Strong business writing and ability to present insights to stakeholders
• Ability to manage multiple projects and work cross-functionally

Nice to Have

• Experience with

Medicare or Medicaid programs

• Background in

public health, clinical fields, or healthcare analytics

• Certifications such as

CPHQ or HEDIS-related credentials Why This Role

• Fully

remote with strong flexibility

• High-impact role influencing

patient care quality and compliance

• Blend of

strategy, analytics, and regulatory exposure

• Opportunity to work on

accreditation and large-scale improvement initiatives