Quality Improvement Specialist (Non Clinical) - 520046 jobs in United States
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TEKsystems · 2 months ago

Quality Improvement Specialist (Non Clinical) - 520046

TEKsystems is a leading provider of business and technology services, and they are seeking a Quality Improvement Specialist to support the development and maintenance of quality improvement related projects and reporting. The role involves monitoring HEDIS rates, medical record retrieval, and collaborating with the non-clinical team to drive overall healthplan ratings.

Information Technology
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H1B Sponsor Likelynote

Responsibilities

Calling provider offices to request/validate facility and provider addresses, and/or collect medical records for the HEDIS project
Data entry of change of addresses into system
Uploading records upon receipt
Documenting all outreach efforts
Working with MS Excel
Heavy chart monitoring and auditing of medical records
Monitor the production of quality results reporting analyze track and trend the reporting results and report them to management
Formulate and prepare ad-hoc and additional reporting requirements
Recommend develop and implement quality improvement plans with management
Train providers and staff in methodologies and tools of continuous quality improvement
Prepare for and participate in meetings with State agencies providers and stakeholders
Perform audits on to meet state and internal requirements
Performs other duties as assigned
Complies with all policies and standards

Qualification

Certified Professional in Healthcare QualityData analysisMedical record retrievalMS ExcelQuality improvement methodologiesCollaborationCommunication

Required

Bachelors degree in related field or equivalent experience
3 years of related experience
Valid drivers license
Heavy chart monitoring and auditing of medical records
Monitor the production of quality results reporting analyze track and trend the reporting results and report them to management
Formulate and prepare ad-hoc and additional reporting requirements
Recommend develop and implement quality improvement plans with management
Train providers and staff in methodologies and tools of continuous quality improvement
Prepare for and participate in meetings with State agencies providers and stakeholders
Perform audits on to meet state and internal requirements
Complies with all policies and standards

Preferred

Certified Professional in Healthcare Quality CPHQ

Benefits

Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)

Company

TEKsystems

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At TEKsystems, they understand people. Every year they deploy over 80,000 IT professionals at 6,000 client sites across North America,

H1B Sponsorship

TEKsystems has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (46)
2024 (52)
2023 (33)
2022 (22)
2021 (36)
2020 (53)

Funding

Current Stage
Late Stage

Leadership Team

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Ryan Skains
Vice President, TEKsystems Global Services
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Company data provided by crunchbase