Senior Quality Improvement Professional
Core
Leads cross-functional quality improvement initiatives to enhance clinical quality and provider performance for South Carolina Medicaid members.
Role type
Senior Quality Improvement Professional (Healthcare Operations)
Builds
Provider-focused quality strategies, educational resources, and performance reporting systems.
Domain
US Healthcare / Medicaid Managed Care
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Healthcare quality improvement, HEDIS/CAHPS performance measures, data analysis, stakeholder engagement, project management, strategic planning
Preferred skills
Advanced degree, complex project leadership, South Carolina Medicaid regulations expertise
Technologies
HEDIS, CAHPS, ECHO
Responsibilities
Partner with Provider Engagement and Network teams to implement clinical quality strategies; Analyze performance data to identify improvement opportunities and develop targeted interventions; Lead cross-functional workgroups to improve HEDIS, CAHPS, and other performance measures; Collaborate with internal and external stakeholders to advance quality and member experience goals; Lead provider-focused strategies supporting CAHPS/ECHO and other member experience initiatives
Seniority
Senior, hands-on IC with strategic guidance
