Quality Improvement Specialist
Core
Connect patients, provider practices, and internal teams to identify, manage, and close quality gaps through targeted education, outreach, and data-driven collaboration.
Role type
Quality Improvement Specialist (Healthcare Operations)
Builds
Actionable performance insights and improved HEDIS/Medicare Stars measures for nephrology practices
Domain
Healthcare / Nephrology / Value-Based Care
Deliverable
dashboards & analysis
Required skills
Patient outreach, provider coaching, quality gap closure, data interpretation, workflow optimization, cross-functional collaboration, EMR proficiency, MS Office Suite
Preferred skills
HEDIS and Medicare Stars measure expertise, nephrology/CKD/ESRD experience, Medical Assistant or LPN license
Responsibilities
Serve as a trusted partner to practices on HEDIS and Stars expectations; Share and interpret quality reports and dashboards; Educate practices on documentation accuracy and best practice workflows; Facilitate meetings to review quality trends and co-develop action plans; Manage assigned patient panels and conduct proactive outreach to close care gaps; Collaborate with Quality, Clinical Operations, and Coding teams to ensure payer-aligned support.
Seniority
Entry-level to Mid-level, hands-on IC