Quality Improvement Specialist Sr

Role summary

HEDIS Operations experience highly preferred Clinical Medical Record Review experience. Position Purpose: The Senior Quality Improvement Specialist is responsible for coordinating assigned regulatory, accreditation, clinical quality and/or service improvement programs. Functions as a leader for assigned health services initiatives handling multiple large-scale complex initiatives. Collaborates on national, regional and multi-plan initiatives. Develops programs in compliance with accreditation and regulatory requirements/ standards and monitors ongoing program performance to maintain compliance. Acts as a resource for training, policy and regulatory/accreditation interpretation. Leads and manages multiple complex initiatives that impact the quality or effectiveness of health care delivery a

Skills

• audit
• communication
• community building
• compliance
• cross-functional collaboration
• data
• healthcare
• knowledge management
• operations
• outreach
• partnerships
• presentation
• project management
• training
• workday