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Alliance Health · 1 week ago

Quality Improvement Specialist (Full-time Remote, North Carolina Based)

United States

Full-time

Remote

Senior Level

$68K/yr - $87K/yr

5+ years exp

Alliance Health is seeking a Quality Improvement Specialist to plan and execute organization-wide improvement projects to enhance performance and resource efficiency. The role involves applying various quality improvement methodologies, managing multiple projects, and collaborating with teams to achieve quality targets.

Health Care

Responsibilities

Manage interdepartmental projects to achieve quality targets-

Form a team of experts required for effective completion of the project, documenting the projected resources, dates, and goals

Develop and adhere to a timeline and list of tasks and resources should be generated that will describe the project in detail and plot important dates, meetings, and prospective finish

Prepare and present project reports on a regular basis to the Project Team, Executives, and the Board of Directors

Conduct regular meetings with team members to discuss the status of the project and also to make necessary changes and improvements to achieve the desired results

Motivate and influence staff assigned to the project in order to accomplish task(s) successfully Statistics, Sociology, Economics, Public Health, Business Administration, Organizational Development, Psychology or related social science

Identify and promptly address any problems that may pose a risk to achieving the desired outcome of the project within the time and budget constraints

Create and deliver presentations and trainings to variety of internal and external stakeholders as needed

Identify the root causes of quality issues to ensure the problem is well defined and can be addressed

Leverage lean concepts to identify nonvalue-added elements and activities, and are able to use quality tools to identify failure points in processes

Conduct process mapping exercises, design effective data collection plans, understand sources of performance variation, and communicate these principles effectively to a broad audience

Define success targets based on internal and external requirements as well a well thought out business case

Effectively measure the key output variables to ensure all performance changes are accurately assessed

Conduct statistical analysis of initial and repeat measures to evaluate efficacy of interventions and to improve approach to successfully resolving root cause as needed

Design appropriate sampling plans and measurement systems to assess process capability and overall system performance

Evaluate validity and accuracy of data sources to draw appropriate conclusions

Analyze changes in performance to determine the impacts of interventions

Perform any required data analysis to evaluate performance gaps

Prepare comprehensive reports to ensuring adequate documentation and methodology to support findings and recommendations

Design and lead the implementation of effective interventions to drive improvement

Generate and evaluate solution ideas using Lean methodologies to reduce and prevent waste

Develop plans for implementing proposed improvements, including conducting pilot tests or simulations, and evaluate results to select the optimum solution

Develop a sustainable monitoring process and procedure that will ensure long-term success

Verify reduction in failures due to the targeted root cause

Ensure that all staff involved in the improvement efforts are trained to sustain the improvements and have a robust monitoring plan to detect future performance issues

Qualification

Quality Improvement MethodologiesData Collection & AnalysisMicrosoft ApplicationsProject ManagementNCQAHEDIS knowledgeMedicaid ExperienceCommunication SkillsCollaboration SkillsFinancial managementLean practitioner certificationSix Sigma Black Belt certification

Required

Bachelor's degree and five (5) years of experience leading project teams focused on large-scale quality improvement efforts and/or experience gathering, editing, and analyzing data for social and economic research

or Master's degree and three (3) years of experience leading project teams focused on large-scale quality improvement efforts and/or experience gathering, editing, and analyzing data for social and economic research

Certification as a Lean practitioner and/or Six Sigma Black Belt is required within eighteen (18) months of employment

Advanced Project Management skills

Advanced Quality Improvement Methodologies (Lean, Six Sigma, Kaizen, etc.)

Advanced Data Collection & Analysis skills

Advanced Microsoft Applications (Excel, Word, PowerPoint etc.) skills

Advanced Communication Skills

Advanced Collaboration Skills (problem-solving, mediation, conflict resolution and teamwork)

Knowledge and experience with NCQA and HEDIS measurements

Medicaid Experience

Financial management skills