Quality Improvement Specialist

Job Summary

A company is looking for a Quality Improvement Specialist (HEDIS).

Key Responsibilities

• Train providers, health plans, and staff in 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 stakeholders

Required Qualifications

• 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
• Extensive HEDIS experience is highly preferred
• Experience in quality performance improvement plans (PIPs) is beneficial