Quality Improvement Specialist

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

• Complete quality reviews and submissions of Health Plan reports, ensuring adherence to timelines and quality standards
• Assist in data collection, entry, and delivery of reports for Quality Improvement initiatives
• Analyze data and reports, managing the data review process to ensure accuracy and integrity

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 or NCQA standards, preferred