Senior Quality Improvement Specialist

Job Summary

Leading complex health services initiatives, the full-time Senior Quality Improvement Specialist will coordinate regulatory and accreditation programs, develop compliance strategies, and collaborate with cross-functional teams to enhance healthcare delivery in a remote setting.

Key responsibilities

• Manage multiple large-scale quality improvement initiatives to enhance healthcare services and ensure compliance with accreditation and regulatory standards
• Conduct assessments of programs and interventions to refine activities and improve outcomes, including vendor oversight and management
• Develop and implement targeted activities to improve performance measures such as Star Ratings, HEDIS, and CAHPS

Required qualifications

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