SPECIALIST - QUALITY MANAGEMENT

Works in conjunction with operational and clinical staff to facilitate Quality Management/Performance Improvement programs. Supports monitoring activities to ensure quality across CenterLight Healthcare and collaborates with performance improvement initiatives to ensure care delivery and services meet the highest standards.

Responsibilities

• Utilize quality improvement methodologies (PDSA, Six-Sigma, Lean, or other standardized tools) to assist business owners in driving quality improvement initiatives.
• Use sound clinical judgment to identify deviations in clinical standards of care delivery.
• Serve as liaison between PACE sites, department leaders, medical directors, and Quality.
• Conduct root cause analyses to identify deficiencies and implement evidence-based interventions for Level 2 Incidents.
• Monitor and investigate all potential or identified quality of care incidents; collaborate with appropriate staff to determine impact and next steps.
• Conduct monthly internal monitoring and audits to identify opportunities for performance improvement.
• Participate in site/center preparation and execution of audit readiness by regulatory and accreditation agencies (State, Federal, CMS, NCQA, etc.).
• Collect, summarize, and analyze performance data to identify opportunities for improvement.
• Support, facilitate, and participate in Quality committees and workgroups.
• Investigate and incorporate national best practice interventions to drive greater improvements.
• Draw conclusions from data analysis to initiate and facilitate performance improvement projects.
• Maintain working knowledge of regulatory requirements related to quality for health plan and care delivery products.
• Identify and escalate urgent quality and operational matters.
• Conduct, analyze, and report results of quality audits.

Requirements

• Bachelor’s degree in Nursing, Public Health, Epidemiology, or other related health field required; Master's degree preferred.
• 3–5 years of progressively responsible related work experience, including regulatory agency standards and performance improvement initiatives.
• Excellent written and oral communication skills.
• Ability to communicate effectively with individuals at varying levels of education and across the organization.
• Ability to work effectively in a fast-paced environment.
• Proficiency in creating informative and engaging presentations using PowerPoint or similar tools.
• Proficient in Microsoft Office products (Teams, Word, Excel, Outlook).
• Ability to utilize data management systems to pull, analyze, and draw conclusions from information.
• Experience working with clinical and non-clinical departments and influencing buy-in for quality improvement initiatives.

Physical Requirements

• Standing for up to 6 hours a day.
• Sitting/stationary for up to 6–8 hours a day for consecutive periods.
• Lifting, pushing, or pulling up to 50 pounds using OSHA guidelines.
• Bending or squatting to perform essential job functions.
• Maneuvering stairs, walking, or climbing to access work areas.
• Demonstrating agility and fine motor skills for operating equipment, devices, and tools.
• Visual ability to read documentation, signs, and accurately type/write.
• Auditory and language skills to listen, document, and communicate clearly with patients, coworkers, clients, and providers.
• Cognitive ability to demonstrate good decision-making, reasoning, and analytical skills.

Pay

$86,400.00 – $105,000.00 per year.

Schedule

40 hours per week, Monday–Friday, 8:30 AM – 5:30 PM.