Job Summary
A company is looking for a Quality Improvement Specialist Senior.
Key Responsibilities
- Lead and manage multiple complex initiatives to enhance the quality and effectiveness of healthcare delivery
- Ensure compliance of clinical and service quality improvement programs with accreditation and regulatory requirements
- Conduct assessments and develop targeted activities to improve performance measures such as Star Ratings and HEDIS
Required Qualifications, Training, and Education
- Bachelor's Degree or equivalent experience with a clinical license, or a Master's Degree in a related health field
- Valid state clinical license preferred; Certified Professional in Health Care Quality (CPHQ) preferred
- Minimum three years of experience in a clinical/healthcare environment related to the degree program
- Three to five years of managed care experience in a healthcare setting
- Experience in compliance, accreditation, service, or quality improvement, and complex project management
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