Quality Specialist (4973)

Administration

• Serve as internal consultant on NCQA PCMH and PCSP standards, requirements, and updates
• Lead and support practices through initial recognition and annual reporting processes
• Conduct gap analyses and readiness assessments; develop action plans for compliance
• Maintain documentation and evidence required for NCQA submission

Quality Improvement & Systems Support

• Apply structured improvement methodologies (e.g., PDSA cycles, Lean principles) to drive measurable outcomes
• Facilitate interdisciplinary teams in workflow redesign, care coordination, and performance optimization
• Promote systems-thinking approaches to quality, safety, and patient-centered care

Data Analytics & Reporting

• Collect, analyze, and interpret clinical quality metrics (e.g., HEDIS, UDS, internal dashboards)
• Develop and maintain performance reports to track progress toward organizational goals
• Translate data into actionable insights for providers, leadership, and care teams

Population Health & Care Coordination

• Support risk stratification, care management workflows, and registry development
• Collaborate with care teams to improve outcomes for high-risk and chronic disease populations
• Align initiatives with value-based care and population health strategies

Collaboration & Communication

• Partner with clinical leadership, IT, compliance, and operations teams
• Facilitate meetings, communicate progress, and present findings to stakeholders
• Foster a culture of continuous quality improvement and accountability

Education and Training

• Provide education and training to providers, residents, nursing staff, and care teams on NCQA PCMH/PCSP standards and quality improvement methodologies
• Develop training materials, tools, and job aids to support practice transformation and sustainment
• Serve as a subject matter expert and mentor for staff engaged in quality improvement initiatives

Academic & Professional Development

• Contribute to the academic mission of SIU School of Medicine through participation in educational activities, curriculum support, or presentations
• Support dissemination of quality improvement work through presentations, reports, or scholarly activity when applicable

Qualifications

• Bachelor's degree in nursing, healthcare administration, public health, or related field (BSN preferred)
• One (1) year (12 months) of Quality Improvement work experience in a clinical or healthcare related field
• Preferred qualifications: Current, active Registered Nurse (RN) license in the State of Illinois (or eligibility for licensure), Three (3) years of clinical nursing experience, preferably in ambulatory, primary care, or specialty practice settings
• Knowledge of computer skills including Word, Excel, and PowerPoint
• Knowledge of process improvement methodology and tools
• Knowledge of data collection methodology
• Knowledge of basic statistical process control components
• Knowledge of benchmarking tools and best practices
• Problem-solving and team facilitation skills
• Skills using CQI tools and techniques
• Strong analytical skills
• Ability to train, present to small and large groups
• Ability to act as a consultant to clinicians and non-clinicians