Quality Improvement Professional
Humana · United States · US
Quality Improvement
Remote/Hybrid — check advert
Dentist
Demand78
Career growth72
Healthcare fit85
Remote potential85
Salary band
USD 65k – 89k
5-year outlook
Payer quality improvement and audit roles generally offer stable compensation with progression into senior quality, compliance, or audit leadership; exact pay varies by location, experience, and internal band.
Clinical license
Not required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-10-06
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- Profession fit
- Dentist
- Rate period
- Annual
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth applying for clinicians seeking a non-clinical payer-side quality/audit role, especially those with Medicare/Medicaid, care coordination, or compliance exposure. It is less suitable for clinicians wanting fully remote, patient-facing, or purely clinical work.
Who should apply
Nurses, physicians, pharmacists, and allied health professionals with care coordination, quality improvement, compliance, audit, Medicare/Medicaid, or HEDIS/Stars experience; IMGs and healthcare graduates with relevant audit/process improvement exposure may also fit.
CV angle
Reframe clinical work as quality and compliance experience: chart audits, care coordination, transition-of-care follow-up, regulatory documentation, root cause analysis, interdisciplinary education, and data-driven process improvement. Quantify audit volumes, compliance rates, or remediation outcomes where possible.
Skills to highlight
- Quality Improvement
- CMS/State audits
- HEDIS/Stars
- Medicaid/Medicare compliance
- Care Coordination
- Root Cause Analysis
- Data Analysis
- Interrater Reliability
Role summary
Humana Illinois Market seeks a Quality Improvement Professional to analyze business processes, support CMS/State audits, monitor compliance and quality metrics, collaborate with care coordination teams, and help drive sustainable process improvements. Remote-based with required travel for audits.
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