Quality Improvement Specialist II
Core
Manage HEDIS projects, data collection, and reporting to support quality improvement initiatives in healthcare.
Role type
Quality Improvement Specialist (Data & Reporting)
Builds
Regulatory-compliant data reports and quality metrics for healthcare organizations
Domain
Health Insurance / Managed Care / Quality Management
Deliverable
dashboards & analysis
Required skills
Data management, Report generation, Project management, Data analysis, Regulatory compliance, Process improvement
Preferred skills
HEDIS project experience, Managed Care Organization (MCO) experience, NCQA standards knowledge, Study analysis
Technologies
MS Office applications
Responsibilities
Manage HEDIS project timeline and vendor oversight, Conduct data collection and medical record reviews, Analyze data for committee discussions, Design and manage data review processes, Implement process improvements, Assist in preparation for regulatory audits
