[Remote] Quality Improvement Specialist IV

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. Qlarant is a not-for-profit corporation that partners with public and private sectors to enhance the quality and efficiency of healthcare and human services programs. The Quality Improvement Specialist IV will manage and implement quality improvement projects, conduct analyses, and ensure compliance with healthcare regulations while coordinating with team members and stakeholders. Responsibilities • Leads and manages complex quality improvement projects, coordinating tasks and assignments with QI team members. Oversees project implementation and completion, ensuring that all initiatives are executed effectively and meet predefined objectives. Conducts comprehensive baseline analyses and utilizes advanced quality improvement tools to identify and address process and procedural gaps • Maintains an advanced clinical knowledge of all assigned projects, managed care processes, and relevant regulatory issues. Ensures that project strategies and activities are informed by up-to-date and accurate information • Ensures timely completion of all contract deliverables, both internal and external. Monitors progress against deadlines and works proactively to address any issues that may impact the achievement of contract objectives • Updates and manages a comprehensive database of contacts at assigned facilities. Uses this database to facilitate communication, collaboration, and information sharing related to quality improvement initiatives • Coordinates and participates in meetings and committees as assigned, contributing expertise and providing presentations on quality improvement topics. Facilitates discussions and decisions to advance quality improvement goals • Engages with customers on-site and by phone to explain quality improvement initiatives, deliver training, and address issues. Acts as a key point of contact for resolving problems and ensuring that customer needs are met effectively • Prepares and maintains materials and information for providers involved in quality improvement initiatives. Ensures that all resources are accurate, current, and aligned with project objectives • Collaborates with the managed care team to plan and develop strategies that meet contract objectives. Monitors and documents the progress of assigned facilities, providing regular updates and recommendations for improvements • Adheres to contract-specific procedures and policies while conducting activities. Ensures compliance with all contractual requirements and organizational standards Skills • Minimum Bachelor's Degree required • 8 - 11 years of experience required • 12 - 14 years preferred Company Overview • Qlarant is a not-for-profit, nationally respected in fighting fraud, waste, and abuse—improving program quality, and optimizing performance. It was founded in 1973, and is headquartered in Easton, Maryland, USA, with a workforce of 501-1000 employees. Its website is Apply tot his job
Apply Now

Similar Opportunities

Private Wealth Executive Assistant (San Francisco)

Remote

Clinical Research Nurse - Home Visits (PRN); Birmingham, Alabama

Remote

PRN Pediatric Registered Nurse (RN) Opening Near Granger, WA for 25/26 School Year

Remote

Nursing Manager / RN Required/ 5K Sign-On

Remote

ALM Processes Engineer; f​/m​/d

Remote

Education Program Consultant - (Continuous Improvement) Mississippi Bend

Remote

[Remote] Global Procurement Consultant

Remote

Senior Enterprise Sourcing Specialist - REMOTE

Remote

Supply Planning & Procurement Manager

Remote

Sr. Procurement Specialist

Remote

Ikea – Retail Sales Associate – Self Serve (34-40 hrs/wk) – New Haven, CT

Remote

**Experienced Live Chat Customer Support Representative – Remote Work Opportunity at blithequark**

Remote

**Part Time Data Entry Clerk – Flexible Online Opportunities with blithequark**

Remote

Senior ReactJS Engineer

Remote

**Experienced Live Chat Assistant – Delivering Exceptional Customer Service in a Dynamic Remote Environment at blithequark**

Remote

Experienced Customer Support Specialist – E-commerce Profit Optimization Platform Expert

Remote

Experienced Senior Data Architect – Voice of the Customer Strategy and Big Data Solutions Development for Live Chat and Remote Operations at arenaflex

Remote

**Experienced Data Entry Clerk – Remote Work Opportunities for Teenagers at arenaflex**

Remote

Head of Data Science

Remote

**Experienced Data Entry Specialist – Remote Opportunity with Competitive Hourly Rate**

Remote
← Back to Home