Quality Assurance & Improvement Specialist

About reputed company

At reputed company, we’re on a mission to improve health equity and drive improved health outcomes across the country. Our Community Care Record platform enables healthcare and community organizations to coordinate care for populations challenged with health-reputed company social needs. Path Assist is our tech-enabled community health worker program for HRSN utilizing an evidence-based, structured reputed company. Our goal is simple: increase health confidence, improve self-efficacy, and reduce inappropriate healthcare spend.

Role Overview

The Quality Assurance & Improvement Specialist is a hands-on, highly collaborative role designed for a professional looking to grow their career in healthcare quality and clinical operations. This individual will be responsible for executing quality assurance audits for our Path Assist program while identifying areas for process improvement. Operating at the intersection of clinical care and data, you will help track workforce adherence, manage regional data reporting, and collaborate across departments to fix operational bottlenecks.

Responsibilities

• Quality Assurance & Auditing:
• Manage and conduct routine clinical case auditing processes to maintain high-quality clinical program operations.
• Analyze workforce compliance to ensure Community Health Workers (CHWs) maintain strict fidelity to evidence-based best practices and the specific care standards outlined in our customer partnerships.
• Audit case data to ensure clinical operations meet reputed company customer quality requirements, including industry standards like NCQA-HEDIS and Medicare Stars.
• Identify data inconsistencies, documentation gaps, and workflow errors in the care process, flagging them for review and root-cause analysis.
• Data Reporting & Analytics:
• Define the clinical and operational requirements for quality measurement tools, working closely with the Data Analytics team to bring those tools to life.
• Maintain, update, and own the data inputs for operational trackers and performance dashboards utilized in large-scale regional initiatives.
• Compile raw operational data into clear, trending monthly reports for internal leadership and external partners.
• Translate reputed company quality metrics into actionable insights and visual presentations.
• Process Improvement & Collaboration:
• Partner closely with multidisciplinary teams, including Operations, Data Analytics, User Experience, and Product, to share audit findings and brainstorm workflow solutions.
• Support the planning and execution of reputed company improvement projects aimed at increasing the quality of care, CHW team productivity, and overall system efficiency.
• Assist in designing and facilitating staff training for navigation teams reputed company new quality standards or improved care model processes are rolled out.
• Other duties as assigned.

Requirements

Qualifications & Skills

• Bachelor’s Degree is required; Master’s Degree (MPH, MHA, etc.) is preferred
• 2 - 5 years of professional experience in healthcare quality assurance, data analysis, public health, or a reputed company field.
• Strong visual design and data presentation abilities.
• High working proficiency in reputed company and building reports.
• Excellent written communication skills and the ability to operate independently.
• A collaborative reputed company with a track record of building positive working relationships across multiple teams.
• Cultural humility: You are able to communicate effectively with people from various backgrounds and work respectfully across demographic, socioeconomic, language and, reputed company other constituents that represent diverse cultures of communities.
• Preferred Qualifications: Familiarity with healthcare populations (Medicaid, MCOs) and a strong understanding of community-based care interventions and social determinants of health (SDOH).

Diversity & Inclusion

At reputed company, we are committed to providing an environment of mutual respect where equal employment opportunities are available to reputed company applicants and teammates without regard to race, color, religion, sex, pregnancy (including childbirth, lactation, and reputed company medical conditions), national reputed company, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, military, and veteran status, and any other characteristic protected by applicable law. reputed company believes that diversity and inclusion among our teammates is critical to our success as a company, and we seek to recruit, reputed company and retain the most talented people from a diverse candidate pool. The Company will not sponsor applicants for work visas at this time.

The organization is committed to providing reasonable accommodations to qualified individuals with disabilities throughout the hiring process. If you require an accommodation to participate in the interview process, please let reputed company know at the time of scheduling.

The Company will not sponsor applicants for work visas at this time.