Lead Quality Improvement Specialist
Core
Lead clinical quality improvement initiatives, conduct medical record reviews for regulatory compliance, and partner with leadership to enhance operational and clinical effectiveness in a healthcare setting.
Role type
Senior IC Quality Improvement Specialist (Healthcare)
Builds
Sustainable clinical operational improvements, regulatory compliance strategies, and quality performance dashboards
Domain
Healthcare / Clinical Quality & Regulatory Compliance
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Clinical documentation review, Medical record abstraction, CMS quality measures, Regulatory standards, Data analytics (Excel), Epic Reporting Workbench, Change management, Multidisciplinary team leadership
Preferred skills
Tableau, Evidence-based practice, Healthcare quality data interpretation, Joint Commission standards, CPHQ/CPPS certification
Technologies
Epic Reporting Workbench, Tableau, Excel
Responsibilities
Conduct comprehensive clinical reviews of medical records to evaluate documentation accuracy and regulatory compliance; Lead enterprise quality improvement initiatives using Continuous Quality Improvement methodology; Interpret clinical findings and translate complex regulatory requirements into actionable recommendations for leadership; Facilitate multidisciplinary workgroups focused on improving clinical quality and patient outcomes; Guide the development of reports, dashboards, and visualizations to communicate quality performance metrics; Maintain expert knowledge of CMS measures, Conditions of Participation, and accreditation standards.
Seniority
Senior, hands-on IC
