Continuous Quality Improvement Manager Job Description in Hospital
Keys To Writing a quality improvement specialist Job Description
Zippia analyzed thousands of quality improvement specialist job descriptions to identify key pieces of information you want to include. Using a machine learning data analysis, we determined the following key facts about quality improvement specialist job descriptions:- The average quality improvement specialist job description intro is about 243 words
- The responsibilities section contains an average of 15 bullets points
- The requirements section contains an average of 8 bullets points
Quality Improvement Specialist Description Example 1
Full Job Description
The Quality Improvement Specialist I will help our communities thrive by promoting a continuous quality improvement of documentation and network curriculum. This program will include responsibility to monitor the quality control of standardized documentation and process across markets.
We are a culture that is unabashedly driven by purpose. We are making a difference to our patients and providers while growing at an accelerated rate. Every day, we support the health journey of patients by authentically living our core values: Purpose Driven, Relationships Matter, Serve Others First, and Inspire Creativity. If you love serving others and would like to make a material difference in an industry-transforming organization, then we invite you to apply to this role. We are recognized as one of the Top 100 Places to Work by The Dallas Morning News, and we have been awarded as one of the fastest-growing privately held companies by SMU Cox.
Core Functions
• Assists in developing Network curriculum, provider manuals, guidelines, and onboarding process & documentation.
• Monitoring of standardize documentation and workflows.
• Promote and perform continuous quality improvement monitoring.
• Compiles data for trend analysis and reporting so quality action plans can be developed and implemented.
• Monitors the Quality Action Plans and reports back to the Program Manager.
• Coordinates meetings as required to meet targets related to department and company goals.
• Continuous mindset toward efficiency and process improvement - how to apply technology and processes to improve delivery and efficiency from both the Provider Group and internal perspective.
• Responsible for coordinating meetings with performance advocates
• Review policies, procedures and workflows, recommending revisions when necessary to comply with regulatory and accreditation standards (HIPAA, DOL/ERISA, UM & CM URAC, NCQA, etc.), and facilitating completion and implementation of revisions. Monitors that staff comply with the established written policies and procedures.
• Participate in accreditation initiatives and assist with completion of activities.
• Assist in developing and updating URAC, Departments of Insurance and NCQA compliance materials with documentation to demonstrate compliance with regulations/standards.
• Assist in completion and submission of accreditation applications.
• Maintains team audits, competencies, and curriculum and test inventories.
• Performs other related duties as assigned.
Qualifications and Education Requirements
• Associate degree or equivalent experience required.
• Minimum of 2 years' experience in healthcare
• Working knowledge of Quality Improvement principles and incorporating them into daily functions.
• Proficiency in computer and software programs (e.g. Microsoft Word, Excel).
• Effectiveness in communication style (written and verbal), with proven ability to positively influence behavior toward a positive outcome.
• Self-motivated with the ability to work independently, as well as within a team environment.
• Proficient in data analysis, error discovery and resolution.
• Ability to adapt and quickly learn electronic programs utilized for research.
• Positive, service-oriented attitude. High level of integrity.
• Ability to multi-task and work closely with all associated in data capture and analysis.
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Quality Improvement Specialist Description Example 2
Full Job Description
You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Assist with the daily operations and support within the Quality Improvement department including data management, data reporting needs, and project management.
• Manage the HEDIS project to include assignment of nurses, adherence to plan timeline, and vendor oversight for timeliness and quality
• Assist in data collection, data entry and generation of reports in support of QI initiatives including but not limited to: access and availability studies, HEDIS abstraction forms, medical records/site reviews, member and physician satisfaction studies
• Analyze data and report writing for committee discussion
• Research and write items for provider newsletters and other educational pieces
• Conduct Interdepartmental inter-rater reliability audits
• Design, run, and manage the data review process to ensure accuracy and integrity of data reports to meet regulatory and operational requirements.
• Implement process improvements to streamline departmental functions
• Assists Director, QI in preparation for audits by regulatory agencies and review organizations
Education/Experience: Associate's degree in related field or equivalent experience. 4+ years of data management experience, with a health insurance organization, in a position with accountability for report generation management or project management. Working knowledge of MS Office applications. Experience in quality initiatives (including HEDIS project, study analysis, or NCQA standards) preferred.
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
**TITLE:** Quality Improvement Specialist II (Performance Improvement/Member Initiative)
**LOCATION:** Various, Georgia
**REQNUMBER:** 1358263
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Quality Improvement Specialist Description Example 3
Full Job Description
Under the direction and mentorship of the Division Continuous Improvement Manager, the selected candidate will be responsible for division improvements that lead to increased efficiencies as well as training, mentoring, influencing and applying lean tools. The candidate will conduct studies pertaining to cost / schedule control, cost reduction and inventory control to identify and improve key areas of operation within the business. Analyze data and lead root cause and corrective actions teams to preemptively addressed negative metric trends before targets are missed and/or reactive analysis to return metrics to optimal performance levels. The candidate will also be responsible for leading the sites visual management initiatives and digital transformation of performance metrics.
Essential Functions:
+ Manages complex projects or processes with general oversight; to include leading the achievement of division savings goals and operating plans with direct impact on the departmental results.
+ Responsible for providing guidance, coaching and training to other employees.
+ Collaborates with senior leadership to analyze the business and communicate major process improvement opportunities focused on waste elimination and variation reduction.
+ Assist in the administration of policies established for improved organizational effectiveness and core operational excellence processes across the organization.
+ Assist in the development of project charters, project plans and obtain leadership sponsorship.
+ Administer project implementation providing training, facilitation, coaching, mentoring, and project management.
Qualifications:
+ Ability to track progress across the business relative to Process Excellence capability, development and implementation maturity.
+ Demonstrated ability to administer appropriate metrics, and report on progress, achievements and associated business results within all departments.
+ Demonstrated tool usage (Six Sigma, 5S, Kaizen, Standardization, etc)
+ Ability to work works under moderate supervision with set objectives provided
+ Excellent communication and interpersonal skills
+ Bachelor's Degree in Industrial Engineering, Operations Management, Mechanical Engineering or Quality Engineering and minimum 6 years of prior relevant experience or 10 years of prior relevant experience.
Preferred Additional Skills:
+ Six Sigma Certification Green Belt (Black Belt Highly Preferred)
L3Harris Technologies is proud to be an Affirmative Action/Equal Opportunity Employer. L3Harris is committed to treating all employees and applicants for employment with respect and dignity and maintaining a workplace that is free from unlawful discrimination. All applicants will be considered for employment without regard to race, color, religion, age, national origin, ancestry, ethnicity, gender (including pregnancy, childbirth, breastfeeding or other related medical conditions), gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, characteristic or membership in any other group protected by federal, state or local laws. L3Harris maintains a drug-free workplace and performs pre-employment substance abuse testing and background checks, where permitted by law.
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What Are The Most Common Skills On A Job Description For A Quality Improvement Specialist?
The most common skills on a job description for a quality improvement specialist are Procedures, Patient Care, and Performance Improvement.
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