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Texas Department of State Health Services · 5 hours ago

Quality Management Program Specialist

San Antonio, TX

Full-time

Onsite

New Grad, Entry Level

$4,583/mo - $5,372/mo

Texas Department of State Health Services is committed to public health and is seeking a Quality Management Program Specialist. This role involves coordinating compliance, evaluation, and continuous improvement of healthcare services within the hospital, supporting accreditation readiness and ongoing quality improvement efforts.

Health Care

No H1B

Responsibilities

Attends work on a regular and predictable schedule in accordance with agency leave policy

Assists in monitoring hospital compliance with Joint Commission, CMS, and applicable state regulatory standards, including tracking compliance status and identifying gaps

Researches Joint Commission, CMS, and state regulatory requirements and develops, revises, and maintains hospital policies and procedures to ensure alignment with current standards and regulatory expectations

Participates in and conducts mock tracers, mock surveys, and routine compliance audits in collaboration with the Quality Management team to assess readiness for accreditation and regulatory surveys. Assists with documentation review, staff interviews, identification of compliance gaps, and tracking of corrective actions

Prepares reports, dashboards, and presentations that inform quality improvement and regulatory compliance efforts for Executive Leadership, Medical Staff Executive Committee, Governing Body, and Quality Management committees

Assists with the coordination, documentation, and follow-up of activities related to the Medical Staff Executive Committee and Governing Body, ensuring compliance-related items are appropriately tracked and addressed

Serves on hospital committees and workgroups as assigned, contributing quality, patient safety, and compliance support

Performs other duties as assigned, including participation in disaster response, emergency preparedness, and Continuity of Operations (COOP) activities

Qualification

Joint Commission standardsCMS regulatory requirementsPolicy developmentQuality management principlesData analysisReport preparationMock surveysCompliance auditsMicrosoft Office proficiencyCommunication skillsCollaborative teamwork

Required

Bachelor's degree from an accredited university

Experience related to healthcare quality management, accreditation, regulatory compliance, policy development, or performance improvement activities

Knowledge of or experience with Joint Commission and CMS accreditation standards and healthcare regulatory requirements

Knowledge of policy and procedure development, revision, and document control processes

Knowledge of performance improvement and quality management principles

Strong written and verbal communication skills

Proficiency in Microsoft Word, Excel, and PowerPoint

Skill in preparing reports and tracking compliance and corrective actions

Ability to work collaboratively with multidisciplinary teams

Ability to interpret and apply regulatory requirements in operational and clinical settings

Ability to analyze data and present findings clearly and accurately

Ability to conduct or participate in mock tracers, mock surveys, and compliance audits in a hospital or clinical environment

Benefits

DSHS offers insurance coverage and other benefits available through the State of Texas Group Benefits Plan administered by the Employee Retirement System of Texas (ERS).