Quality Improvement Specialist II

Job Summary

A company is looking for a Quality Improvement Specialist II to assist with daily operations and support within the Quality Improvement department.

Key Responsibilities

• Manage the HEDIS project, including nurse assignment and vendor oversight
• Assist in data collection, entry, and reporting for Quality Improvement initiatives
• Analyze data and prepare reports for committee discussions and audits

Required Qualifications

• Associate's degree in a related field or equivalent experience
• 4+ years of data management experience in a health insurance organization
• Working knowledge of MS Office applications
• Experience in quality initiatives, including HEDIS project and NCQA standards
• Knowledge of clinical quality and provider engagement