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Manager Continuous Improvement and Quality

Role overview

Qualifications

  • Bachelor’s degree in Business Administration, Healthcare Administration, Engineering, Quality Management, Operations Management, Industrial Engineering, Organizational Leadership, or related field
  • 7 years of progressive experience in quality management, operational excellence, continuous improvement, business process redesign, performance improvement, healthcare operations, or related disciplines
  • 3 years of leadership experience managing staff, cross-functional initiatives, or improvement programs
  • Demonstrated success implementing quality, process improvement, operational excellence, or transformation strategies

Responsibilities

  • Leads and executes Noridian’s enterprise quality strategy, including governance, operating model, quality framework, priorities, performance measures, and continuous improvement capabilities aligned with organizational objectives
  • Manages and continuously enhances Noridian’s Quality Management System (QMS) by establishing enterprise standards and sustainable quality improvement across all business areas
  • Directs the enterprise business process improvement and operational excellence portfolio, prioritizing initiatives based on risk, customer impact, and strategic value
  • Develops and leverages enterprise quality intelligence and performance analytics to identify trends, risks, and improvement opportunities

Key facts

  • Remote from: United States
  • Full time
  • Senior (5-10 years)
  • Continuous Improvement Manager
  • $91K – $138K / year
  • English

Hard skills

Other skills

  • Communication
  • Problem Solving
  • Leadership
  • Decision Making

About the company

Noridian Healthcare Solutions, LLC logo

Noridian Healthcare Solutions, LLC

Digital Health & Health Tech

Noridian Healthcare Solutions, LLC (Noridian) develops solutions for federal, state and commercial health care programs through a full suite of innovative offerings, including claims processing, medical review, and contact center and provider administrative services. Headquartered in Fargo, N.D. with staff located throughout the nation, Noridian administrates people-first services across all 50 U.S. states. Leveraging its decades of experience, the Noridian team designs and implements customizable, high-quality solutions to eliminate common health care barriers, enabling access to care.

Company details

Company typeLarge
IndustryDigital Health & Health Tech
Company size1001 - 5000

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Job description

* Position is Eligible for Remote / Work from Home Opportunity *

Department: Continuous Improvement

Job Grade: E15

As a condition of employment physical work location must be in one of the 50 states or the District of Columbia.

Notice of Collection & Privacy Policy for Applicants Residing in California: California Applicant Privacy Policy | Noridian (noridiansolutions.com) 

Job Title

Manager Continuous Improvement and Quality

Job Summary

The Manager Continuous Improvement and Quality leads the implementation of Noridian Healthcare Solutions’ enterprise quality strategy, Quality Management System, business process improvement portfolio, and operational excellence priorities. This role transforms quality from a reporting-focused function into an enterprise capability that identifies risks, analyzes performance trends, prioritizes opportunities, redesigns processes, and delivers measurable improvements across the organization. The Manager leads the Quality Management, Improvement and Innovation team and partners with operational, compliance, technology, data, and senior leaders to improve enterprise performance. The team interprets performance trends, identifies leading and lagging indicators for key quality outcomes, and applies analytics and structured process improvement methodologies to drive results. The role also administers Noridian’s innovation framework for developing and submitting innovation concepts to CMS. Additionally, the Manager promotes a culture of operational excellence by embedding quality, continuous improvement, innovation intake, and process discipline into daily management, corrective action planning, and enterprise initiatives.

Essential Functions

Key Duties/Responsibilities/Accountabilities

  • Leads and executes Noridian’s enterprise quality strategy, including governance, operating model, quality framework, priorities, performance measures, and continuous improvement capabilities aligned with organizational objectives, compliance requirements, customer outcomes, risk management, and contract success.
  • Manages and continuously enhances Noridian’s Quality Management System (QMS) by establishing enterprise standards, quality methodologies, corrective and preventive action processes, root cause analysis practices, operational controls, and sustainable quality improvement across all business areas.
  • Direct the enterprise business process improvement and operational excellence portfolio, prioritizing initiatives based on risk, customer impact, operational performance, strategic value, and business outcomes, while ensuring effective governance, implementation, adoption, measurement, and sustainment of improvements.
  • Develop and leverage enterprise quality intelligence and performance analytics to identify trends, risks, root causes, leading and lagging indicators, and improvement opportunities; partner with business and technical leaders to create actionable dashboards, monitoring capabilities, and data-driven performance insights.
  • Lead process redesign and transformation efforts using Lean, Six Sigma, Agile, change management, and other improvement methodologies to simplify, standardize, automate, digitize, and optimize workflows, processes, and controls.
  • Manage Noridian’s CMS innovation submission framework, including innovation intake, evaluation, prioritization, governance, development, submission, tracking, and organizational learning for innovation concepts aligned with business and CMS priorities.
  • Partner with senior leaders and cross-functional stakeholders to identify, prioritize, and address quality issues, operational risks, performance gaps, corrective actions, and strategic improvement opportunities.
  • Champion a culture of quality, innovation, and operational excellence by embedding continuous improvement principles into leadership practices, daily management routines, enterprise planning, employee development, and decision-making processes.
  • Build organizational capability in quality and continuous improvement through training, communities of practice, coaching, communication, and tools that strengthen process thinking, root cause analysis, data-driven decision-making, change leadership, and automation readiness.
  • Lead, develop, and manage the Quality Management, Improvement and Innovation team, establishing priorities, accountability, performance expectations, and professional development plans.
  • Influence and communicate effectively with leaders and stakeholders by leading governance activities, facilitating decision-making, preparing executive communications, reporting enterprise performance outcomes, and representing the function with internal and external stakeholders, including CMS.

Non-Essential Duties and Functions

  • Other duties as assigned

Minimum Qualifications

  • Bachelor’s degree in Business Administration, Healthcare Administration, Engineering, Quality Management, Operations Management, Industrial Engineering, Organizational Leadership, or related field
  • 7 years of progressive experience in quality management, operational excellence, continuous improvement, business process redesign, performance improvement, healthcare operations, or related disciplines
  • 3 years of leadership experience managing staff, cross-functional initiatives, or improvement programs
  • Demonstrated success implementing quality, process improvement, operational excellence, or transformation strategies
  • Experience leading complex, cross-functional business process improvement initiatives from problem definition through implementation and sustainment
  • Strong understanding of quality management systems, performance management, data-driven decision-making, root cause analysis, corrective action, and continuous improvement methods
  • Experience operating in highly regulated environments with significant compliance, customer, contract, financial, or reputational impact
  • Strong written and verbal communication skills, including preparation of leadership materials focused on insight, risk, decisions, and outcomes
  • Ability to travel independently to all company sites

Preferred Qualifications

Above requirements and the following:

  • Master's in Business Administration, Healthcare Administration, Engineering, Organizational Leadership, Quality Management, or related field
  • Lean Six Sigma Black Belt, ASQ Certified Manager of Quality/Organizational Excellence, PMP, Prosci, Theory of Constraints or comparable certification
  • Experience supporting Medicare, Medicaid, healthcare payer operations, government contracting, or similarly regulated environments
  • Experience implementing or maturing an enterprise Quality Management System
  • Experience managing innovation intake, concept development, governance, or submissions in a government healthcare or regulated environment
  • Experience building improvement communities of practice, practitioner development programs, or enterprise operational excellence capability

Environment and Cognitive/Physical Demands

  • Office Environment
  • Ability to read, hear, speak, keyboard, reason, communicate effectively and problem solve
  • Requires prolonged sitting and telephone use
  • Requires the use of office equipment such as computer terminals, telephones, copiers and printers
  • Infrequent lifting up to 15 pounds
  • Infrequent stooping

Segregation of Duties

Every employee is responsible to perform their duties and responsibilities in accordance with Noridian values, policies and procedures, including but not limited to: Segregation of Duties Principles, HIPAA, Security and Privacy, CMS requirements, the Noridian Compliance Program and any other applicable laws, rules and regulations.

Statement of Other Duties

This document describes the essential functions, requirements, and responsibilities of this job, and is not intended to be a complete list of all tasks and functions.  Employees may be requested to perform job related tasks other than those specifically listed in this description and may be required to perform any task requested by the supervisor or management.

Total Rewards Package:

Health, Dental and Vision Insurance, Voluntary Insurance Plans, Health Savings and Flexible Spending Accounts, 401k and Company Match, Company-paid Life Insurance, Education Assistance Program, Paid Sick Leave, Paid Holidays, Increasing PTO Accrual Plan, Medical/Parental/Disability Leave, Workers Compensation, Retiree Benefits, Severance Package, Employee Assistance Program, Financial and Health Wellness Benefits, Casual Dress, Open Office Setting, and Online Learning System.

CMS Access Compliance and Regulation Contingency Statement

Some positions require compliance with (i) federal and agency-specific regulations and federal contract requirements, and (ii) eligibility to obtain and maintain federal identity credentials and authorized access to government facilities, information systems, networks, sensitive information, or applications.

To obtain federal identity credentials and authorized access, employees in this position may be required, as a condition of employment, to successfully complete federal identity verification, federal background investigation and adjudication, credentialing, and access authorization processes in accordance with applicable federal requirements. Federal identity credentials and authorized access will not be issued to candidates who have not resided in the United States at least three (3) out of the last five (5) years. 

Failure to obtain and maintain eligibility for required federal credentials and access authorization may result in removal from the position or termination of employment. 

Equal Employment Opportunity

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. 

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

Below is the salary range for potential new hires.

Salary Range: The pay range for this position is $91,158.44 – $137,937.39 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Other Compensation: Incentive Plan & Lifestyle Benefit

This job will be closed 10/30/2026 at 4:00PM CST.  No further applications will be considered. 

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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