Senior Quality Improvement Specialist

Job Summary

To support health services initiatives, the full-time Senior Quality Improvement Specialist will coordinate regulatory and accreditation programs, manage complex projects, and ensure compliance with quality improvement standards while working remotely across various states during EST hours.

Key responsibilities

• Leads and manages multiple complex initiatives to enhance the quality of healthcare delivery
• Ensures compliance of clinical and service quality improvement programs with accreditation and regulatory requirements
• Conducts assessments and develops targeted activities to improve performance measures such as Star Ratings and HEDIS

Required qualifications

• Bachelor's Degree in a related health field or equivalent experience; Master's Degree preferred
• Minimum three years of experience in a clinical/health care environment and three to five years in managed care
• Experience in compliance, accreditation, and quality improvement
• Complex project management experience
• Valid state clinical license and Certified Professional in Health Care Quality (CPHQ) preferred