Quality Specialist II

Job Summary

Supporting continuous quality improvement initiatives, the remote Quality Specialist II will coordinate quality projects, conduct audits, and prepare reports to enhance healthcare processes while ensuring compliance with accreditation standards.

Key responsibilities

• Coordinate quality and process improvement activities, including accreditation support and satisfaction survey follow-up
• Conduct quality control reviews and audits, summarizing findings for internal and external reporting
• Lead quality committees and manage projects, ensuring accurate documentation and timely follow-up on action items

Required qualifications

• 2+ years of HEDIS-related experience or quality improvement and auditing in the healthcare field
• Strong knowledge of healthcare quality improvement processes and accreditation standards (NCQA and/or URAC)
• Expertise in data management, analysis, and reporting, with proficiency in Microsoft Excel, VISIO, and MS Project
• GED or High School diploma required; Bachelor's degree in Healthcare preferred
• Lean Six Sigma Green Belt or White Belt certification preferred