Florida Licensed Quality Improvement Specialist

Job Summary

A company is looking for a Quality Improvement Specialist (HEDIS) to support quality improvement projects related to HEDIS Hybrid Operations.

Key Responsibilities

• Train providers, health plans, and staff in continuous quality improvement methodologies and HEDIS processes
• Provide clinical support for medical record abstraction, over-read, and audit processes
• Monitor performance on quality indicators and prepare for meetings with various stakeholders

Required Qualifications, Training, and Education

• Bachelor's degree in Nursing, Healthcare, or Quality, or equivalent healthcare experience
• Valid state clinical license preferred (e.g., LPN, RN)
• Experience in HEDIS or NCQA preferred
• Knowledge of HEDIS measures and quality improvement processes
• Must reside in Florida