Healthcare Performance & Improvement Lead

Role overview

This opportunity is for a partner organization that oversees the application process and all subsequent hiring steps. The hiring company is seeking a Healthcare Performance & Improvement Lead in the United States.

In this role, you will guide quality assurance, compliance, and continuous improvement work for a large federal healthcare program. You will operate in a collaborative remote setting, monitor performance, assess how effectively operations are running, and help deliver high-quality healthcare services. The position blends strategic leadership with data-informed decision-making, as you work with cross-functional teams to strengthen healthcare operations, support regulatory compliance, and improve outcomes for members and stakeholders. This is a strong fit for professionals who are motivated by healthcare quality, operational effectiveness, and ongoing process improvement.

Key accountabilities

• Take ownership of quality assurance and performance oversight so contractual obligations, quality benchmarks, and operational targets are consistently met.
• Plan, coordinate, and carry out compliance reviews, operational assessments, and performance evaluations across healthcare functions.
• Track administrative and clinical performance patterns to identify ways to improve member experience, continuity of care, and overall efficiency.
• Create practical recommendations and lead improvement efforts that align with program goals and broader healthcare strategy.
• Handle performance review responses, audit-related requests, and ad hoc reporting needs with accurate, timely, and well-supported documentation.
• Stay current on quality measurement methods, acceptable quality levels, reporting expectations, and operational monitoring practices.
• Work closely with teams across claims, enrollment, provider networks, care coordination, and clinical operations to implement improvement actions.
• Review operational data through reporting and business intelligence tools to monitor KPIs, spot trends, and assess the impact of improvements.
• Encourage best practices, improve compliance preparedness, and help build a culture of operational excellence across healthcare teams.

Requirements

• A bachelor’s degree plus at least 3 years of experience in healthcare quality management, performance improvement, compliance, or healthcare operations.
• Background supporting federal healthcare programs, health plans, third-party administrators, or similarly regulated healthcare settings.
• Solid understanding of healthcare operations such as claims processing, enrollment, provider networks, care coordination, certification, and quality oversight.
• Demonstrated experience leading compliance checks, operational reviews, performance tracking, and continuous improvement work.
• Ability to identify process gaps and partner with business stakeholders to deliver operational enhancements.
• Hands-on proficiency with data analysis and reporting tools, including Microsoft Excel and Power BI.
• Strong analytical, organizational, project management, and problem-solving capabilities.
• Excellent written and verbal communication skills, including the ability to prepare executive-level reports and support audits or regulatory reviews.
• Experience with CDC, CMS, or other federal healthcare programs, along with knowledge of public health or government-sponsored healthcare initiatives, is an advantage.

Benefits and compensation

• Annual salary between $112,840 and $115,000, depending on experience, location, and contractual requirements.
• Fully remote role anywhere within the United States, with a flexible schedule.
• Medical, dental, and vision insurance options.
• Health Savings Account (HSA)-eligible healthcare plans.
• 401(k) retirement plan with employer matching.
• Paid time off covering vacation, sick leave, personal leave, company holidays, parental leave, military leave, bereavement leave, and jury duty leave.
• Short-term and long-term disability coverage, plus life insurance, accident insurance, and critical illness protection.
• Professional growth support through paid certifications, continuing education, and career mobility programs.
• Access to modern technology and meaningful work supporting a high-impact federal healthcare program.

Application and hiring process

The partner company manages applications and the next steps in the recruitment process. A shortlist of top-matching candidates is shared with the hiring employer, and the final decisions on interviews, assessments, and hiring are handled by their internal team.

Data privacy and recruitment technology

By applying, you consent to the processing of your personal data for candidate evaluation and for sharing relevant details with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws, including GDPR. You may request access, correction, deletion, or objection at any time.

Automated tools may be used to support parts of the hiring workflow, such as resume review, application analysis, response evaluation, and identifying potential inconsistencies or verification signals. These tools assist the recruitment team but do not replace human judgment, and final hiring decisions are made by people. You may contact the company for more details about how your information is handled.