quality improvement specialist

Brown University Health

<div><ul><li>Job ID: JR-108149
</li><li>Entity: Rhode Island Hospital
</li><li>Location Name: Rhode Island Hospital
</li><li>City, State: Providence, RI
</li><li>Work Type: FULL TIME
</li><li>Hours Per Week: 40
</li><li>Shift: Day
</li><li>Posted Date: 4/10/2026
</li></ul><div><h2 class="jobSectionHeader"><b>SUMMARY</b></h2>
<p>
The Clinical Research Quality Assurance and Improvement (QA/QI) Specialist utilizes knowledge to:</p>
<ul>
<li>Analyze and interpret applicable regulations</li>
<li>Develop/revise institutional policies and procedures</li>
<li>Audit the conduct of human subjects research (biomedical, social &amp; behavioral) and research oversight programs</li>
<li>Assess compliance with all applicable regulations, guidance, and policies and procedures</li>
<li>Identify areas of risk</li>
<li>Oversee the development and implementation of corrective and preventive action plans</li>
</ul>
<p>Ensures adherence to the standards for the responsible conduct of research and compliance. Assists with preparation for external quality reviews and regulatory audits. Brown University Health employees are expected to successfully role model the organization's values of <b>Compassion</b>, <b>Accountability</b>, <b>Respect</b>, and <b>Excellence</b> as these values guide our everyday actions with patients, customers, and one another.</p>
<p>
In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:</p>
<ul>
<li>Instill Trust and Value Differences</li>
<li>Patient and Community Focus and Collaborate</li>
</ul><h2 class="jobSectionHeader"><b>RESPONSIBILITIES</b></h2>
<ul><li>Utilizes expert knowledge to analyze and interpret applicable regulations (federal and local laws, guidance, ICH-GCP, standards for accreditation, etc.), align, amend and enforce institutional policies and procedures, and protect human research participants.</li>
<li>Provides current and accurate compliance information and resources to the research community.</li>
<li>Communicates regulatory changes, updates procedures according to best practices, and acts as a resource to colleagues and researchers in the area of research compliance.</li>
<li>Evaluates compliance by planning and performing monitoring for investigator-initiated trials, in order to assess risk and ensure adherence to institutional policies and procedures, local and federal regulations (i.e., OHRP, FDA, etc.) and Good Clinical Practices (ICH-GCP).</li>
<li>Develops and maintains quality assessment standards, tools, policies, and procedures needed to perform internal assessments of the conduct of clinical research at the institution.</li>
<li>Documents detailed compliance findings and recommendations (with regulatory citations) in a timely manner that allows for proper review and assessment of the risks identified (including root cause analysis) and the conclusions drawn.</li>
<li>Exercises appropriate judgment in evaluating audit findings, develops corrective and preventive action (CAPA) plans, provides targeted education and resources for resolution in a collegial and educational manner.</li>
<li>Assists research teams in resolving issues and ensures responses and corrective and preventative action plans are implemented in a timely manner.</li>
<li>Collects data on audit findings, prepares comprehensive reports (QA metrics), and analyzes trends to identify process failures and direct quality improvement and training initiatives.</li>
<li>Presents data, trends, and risk assessments to Brown University Health Office of Cancer Research (LOCR) Quality Committee.</li>
<li>Works with LOCR Leadership to develop and deliver educational offerings driven by audit findings (e.g., forms and checklists, educational training, regulatory advice/consultation, etc.) for investigators, research staff, and other members of the Brown University Health Cancer Institute to promote the responsible conduct of research and assists with site or study-specific self-assessments.</li>
<li>Investigates compliance breaches, gathers relevant information, assesses impact, determines steps to mitigate risk, and reports findings.</li>
<li>Assists in the management of external audits by regulatory agencies or business partners.</li>
<li>Provides information and services to help research with FDA inspection readiness.</li>
<li>Other job functions as assigned.</li>
</ul><h2 class="jobSectionHeader"><b>MINIMUM QUALIFICATIONS</b></h2>
<p><b>
EDUCATION:</b></p>
<ul>
<li>Bachelor's degree in a healthcare-related field required. Nursing degree preferred.</li>
<li>Certification or eligibility to sit for Certification Exam in relevant area (i.e., Certified IRB Professional (PRIM&amp;R), Certified Clinical Research Professional (SOCRA), Certified Clinical Research Coordinator or Associate (ACRP), Society for Quality Assurance and the American Society for Quality, etc.).</li>
<li>Detailed knowledge of federal, state, and local regulations and an in-depth understanding of ethical principles regarding the protection of human subjects in research.</li>
<li>Working knowledge of local and federal regulations for human subjects research (ICH-GCP, OHRP, FDA regulations).</li>
</ul>
<p><b>EXPERIENCE:</b></p>
<ul>
<li>A minimum of 5 years substantive experience with Phase I through Phase III trials at the Clinical Research Coordinator or Research Nurse. Training or leadership experience preferred.</li>
<li>Excellent customer service, project management, and process improvement skills. Ability to take initiative, prioritize tasks to meet deadlines, produce results, and cope with the inherent pressures.</li>
<li>Excellent organizational and analytical skills: ability to apply presentation and training skills.</li>
<li>Ability to perform multiple tasks with a high level of accuracy and attention to detail.</li>
<li>Proficient computer skills (Excel, Word, Outlook, Access, PowerPoint; electronic medical record (EPIC)).</li>
</ul>
<p><b>SUPERVISORY RESPONSIBILITY:</b></p>
<p>
May supervise 5-10 FTEs.</p>
<h2 class="jobSectionHeader"><b>
PAY RANGE</b></h2>
<p>
$71,136.00 - $117,353.60</p>
<h2 class="jobSectionHeader"><b>
LOCATION</b></h2>
<p>
Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903</p>
<h2 class="jobSectionHeader"><b>
WORK TYPE</b></h2>
<p>
Mon-Thur 7:00 am - 5:30 pm</p>
<h2 class="jobSectionHeader"><b>
WORK SHIFT</b></h2>
<p>
Day</p>
<h2 class="jobSectionHeader"><b>
DAILY HOURS</b></h2>
<p>
10 hours</p>
<h2 class="jobSectionHeader"><b>
DRIVING REQUIRED</b></h2>
<p>
No</p>
<p><i>
Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.</i></p></div></div>

Clinical Research Quality Assurance & Improvement Specialist

Sunshine Metals, Inc.

<div><div><b>Continuous Improvement Specialist</b></div>
<div><div><b>Location:</b> Las Vegas, NV or Wichita, KS <b>Department:</b> Quality Assurance &amp; Continuous Improvement <b>Reports to:</b> Director of Quality AMA NA</div>
</div>
<div></div><div><b>Role Summary</b></div>
<div>The Continuous Improvement Specialist drives Lean and Six Sigma initiatives across Aero Metals Alliance North American service centers to improve Safety, Quality, Delivery, and Cost (SQDC). This role focuses on eliminating waste, improving material flow, strengthening quality at the source, and sustaining improvements in metals processing and distribution operations.</div>
<div></div><div><b>Key Responsibilities</b></div>
<ul><li>Lead CI projects using Lean/Six Sigma tools (Kaizen, A3, DMAIC) to deliver measurable operational and financial results</li>
<li>Facilitate Kaizen events and deploy 6S, standard work, and visual management on the shop floor and in transactional processes</li>
<li>Establish daily management and leader standard work to support site goals</li>
<li>Improve material flow, WIP, and inventory performance through pull systems and cell optimization</li>
<li>Reduce scrap and rework using mistake‑proofing, SPC, and standardized processes</li>
<li>Coach teams and leaders to build a sustainable continuous improvement culture</li>
</ul>
<div></div><div><b>Qualifications</b></div>
<div></div><div><b>Required</b></div>
<ul><li>3&ndash;5+ years of experience in Continuous Improvement, Lean, or Six Sigma</li>
<li>Hands‑on experience in manufacturing, distribution, or industrial operations</li>
<li>Strong problem‑solving, data analysis, and change‑management skills</li>
</ul>
<div></div><div><b>Preferred</b></div>
<ul><li>Lean Six Sigma Green Belt (Black Belt a plus)</li>
<li>Aerospace, defense, space, semiconductor or metals processing experience</li>
<li>Familiarity with AS9100, AS9120, ISO9001 and customer‑driven quality requirements</li>
</ul>
<div></div><div><b>Physical Requirements</b></div>
<ul><li>Lift up to 50 lbs (frequently); up to 75 lbs (occasionally)</li>
<li>Push/pull 25&ndash;50 lbs (frequently)</li>
</ul>
<div></div><div><b>Benefits</b></div>
<ul><li>401(k) with match</li>
<li>Tuition Reimbursement</li>
<li>Paid Time Off</li>
<li>Medical, Dental, Vision, and Life Insurance</li></ul></div>

Continuous Improvement Specialist

Summit Federal Services

<div><p><b>Gate-Quality Assurance Specialist, Kenner, LA ($22-32/hr)</b><br>
<br>
Job Summary:<br>
Immediate need for a Quality Assurance Specialist in Kenner, LA for a multi-billion dollar leader in their industry. This is a Temp to Hire opportunity that is paying $22-$32/hr.<br>
<br>
Start time: 7:30am (ideally 2am 2 days a week)<br>
End time: 4:30pm<br>
Schedule &ndash; if other than M-F: After training could include a weekend day (most likely Saturday) but Monday to Friday to start<br>
<br>
This position is responsible for quality element control related to operation, policy and procedure auditing, supporting quality improvement projects, and supporting the manager to drive defect prevention and detections. The position acts as the primary business unit liaison to US Quality Assurance.<br>
<br>
Main Duties and Responsibilities:</p><ul><li>
Coordinates and monitors quality improvement projects</li><li>
Audits implementation of quality system for effectiveness by verifying operation activities to Gate Gourmet, Customer and Regulatory specification</li><li>
Monitors corrective action system</li><li>
Educates and trains unit staff and managers in quality related issues</li><li>
Plays a key role in developing a comprehensive quality program</li><li>
Implements the quality system detailed in the quality manual</li><li>
Champions the total quality improvement efforts and initiates problem solving efforts and assures implementation</li><li>
Supports the manager to drive prevention vs. detection of defects</li><li>
Coordinates actions to prevent the occurrences of nonconformities</li><li>
Maintains customer compliance resolution</li><li>
Responsible for the maintenance of key performance metrics for the Quality organization</li><li>
Acts as the primary liaison to US Quality Assurance</li><li>
Controls Food safety and Quality of processing and manufacturing within the business</li><li>
Supports customer audits, government audits to meet compliance</li><li>
Verifies and ensures company policies and procedures are followed</li><li>
Ensures quality specifications and requirements are followed and met</li><li>
Assists with developing Standard Operating Procedures</li><li>
Responsible for safety, quality and compliance to customer specification</li><li>
Assists in training of all Standard Operating Procedures and Critical Control Points in the unit</li></ul>
Qualifications:<ul><li>
3+ years of experience in a high-volume QA environment within the food industry (food manufacturer, high-volume caterer, or similar). Lab-only experience will not be a fit for this role.</li><li>
Demonstrated experience with food safety audits.</li><li>
Food processing experience is essential</li><li>
Preferred qualifications include College degree in related discipline, knowledge of HACCP, quality management and six sigma</li><li>
Is HACCP certified and ServeSafe trained a plus</li><li>
Basic lean, six sigma knowledge, and continuous improvement understanding a plus</li></ul>
Highly Preferred (having all three is a strong plus):<ul><li><ul><li>
HACCP Certification</li><li>
Familiarity with SQF standards and audits</li><li>
PCQI Certification (second-level)</li></ul></li><li>
Supervisory Experience:<br>
This role will oversee the activities of approximately 10 employees. Prior supervisory experience is a plus but not a hard requirement. Completes all other company required training including but not limited to ServSafe Sanitation Manager Certification.</li></ul><p>
Summit Federal Services, LLC is an equal opportunity employer regardless of race, color, religion, creed, sex, marital status, national origin, disability, age, veteran status, on-the-job injury, sexual orientation, political affiliation or belief. Employment decisions are made without consideration of these or any other factors that employers are prohibited by law from considering. Any discriminatory action can be a cause for disciplinary action. Summit Federal Services, LLC also prohibits discrimination against individuals with disabilities and will reasonably accommodate applicants with a disability, upon request, and will also ensure reasonable accommodation for employees with a disability.</p><p>
</p><p>6xbBuaHJ4i</p></div>

Quality Assurance Specialist

Community Clinic

<div><p><i>Community Clinic is a trusted regional healthcare system dedicated to delivering exceptional, whole-person care in a compassionate, professional, and welcoming environment. As we continue to grow across the region, we remain grounded in one belief: people matter. That includes our patients&mdash;and our team. Every employee plays a vital role in living out our promise: </i><b><i>We care. You belong.<br>
</i></b></p><p></p><br>
<p><b>Job Summary
</b></p><p>Community Clinic is seeking a Value Based Care Specialist for our Primary &amp; Urgent Care location in Gentry, AR. The Value-Based Care (VBC) Specialist plays a critical role in supporting the organization&rsquo;s success under quality and value-based care models. This position is responsible for executing key functions across care coordination, quality metric performance, and reimbursable care management program support. Working within a Federally Qualified Health Center (FQHC) setting, the VBC Specialist proactively engages patients to close care gaps, coordinates transitions of care, supports enrollment and documentation for programs such as Advanced Primary Care Management (APCM), Chronic Care Management (CCM), and Remote Patient Monitoring (RPM), and monitors quality metrics to drive improved clinical outcomes and financial performance. An active Certified or Registered Medical Assistant certification is required. The schedule for this position is Monday - Thursday 7:00 AM - 5:00 PM and Friday 7:00 AM - 12:00 PM.<br>
</p><p></p><br>
<p><b>Key Responsibilities
</b></p><ul><li>Track and coordinate follow-up care for patients discharged from hospitals and emergency departments using ADT (Admission-Discharge-Transfer) feeds and payer notifications
</li><li>Contact patients post-discharge to assess needs, reinforce discharge instructions, and schedule follow-up appointments with the Primary Care Provider (PCP) and internal services
</li><li>Ensure timely documentation of all transitional care activities and patient outreach in the electronic health record (EHR)
</li><li>Serve as a liaison between patients, internal care teams (PCPs, behavioral health, dental, pharmacy, care managers), and external providers (specialists, imaging centers, tertiary facilities)
</li><li>Monitor and report on value-based care quality metrics, including HEDIS, UDS, and payer-specific measures
</li><li>Use population health tools, registries, dashboards, and payer program portals to identify patients with care gaps, open orders, or overdue preventive screenings
</li><li>Participate in multidisciplinary team meetings, quality improvement committees, and external quality metric meetings
</li><li>Support administration for APCM, CCM, and RPM programs in accordance with requirements
</li><li>Document care coordination activities, patient communications, and service delivery to support accurate billing and compliance with CMS standards
</li><li>Conduct patient outreach to schedule follow-up, preventive care, and annual wellness visits
</li><li>Educate patients on health center services and assist with internal referrals
</li><li>Ensure compliance with HIPAA/HITECH, CMS, HRSA, and other applicable requirements
</li><li>Follow standardized care management workflows, protocols, and documentation practices
</li><li>Create and update training materials for staff education on quality metric performance and program requirements
</li><li>Identify process improvement opportunities and participate in quality improvement initiatives
</li>Attend development activities to remain current on program requirements and best practices<br>
<li>
</li></ul><p></p><br>
<p><b>Skills
</b></p><ul><li>Strong communication, interpersonal, and customer service skills
</li><li>Attention to detail, especially data entry accuracy
</li><li>Strong organizational skills and ability to manage multiple priorities
</li><li>Knowledge of care coordination principles, transitions of care, and referral management
</li><li>Knowledge of value-based care concepts, including quality metrics (HEDIS, UDS, Star Ratings) and population health management
</li><li>Proficiency with electronic health records (EHRs), population health dashboards, payer program portals, and Microsoft Office Suite (especially Excel and PowerPoint).
</li>Ability to create training materials and educate staff on workflows and quality performance<br>
<li>
</li></ul><p></p><br>
<p><b>Required Qualifications
</b></p><ul><li>High School Diploma or GED
</li><li>Active Registered/Certified Medical Assistant (RMA or CMA)
</li><li>Proficient in use of electronic health records and Microsoft Office Suite
</li>Ability to work independently and as part of a multidisciplinary team<br>
<li>
</li></ul><p></p><br>
<p><b>Preferred Qualifications
</b></p><ul><li>Bilingual in English and Spanish or Marshallese
</li><li>2+ years of experience in care coordination, quality improvement, or healthcare.
</li><li>Experience working in an FQHC, CHC, or similar safety-net healthcare setting
</li><li>Familiarity with value-based care programs, CMS care management programs (APCM, CCM, RPM), and health risk stratification tools
</li>Experience with data reporting, quality metric tracking, or population health platforms<br>
<li>
</li></ul><p></p><br>
<p><b>Why Work at Community Clinic?
</b></p><ul><li>Be a part of a mission-driven organization committed to providing access to health-care to everyone in your community!
</li><li>Excellent Benefits Package including:
<ul><li>Health, Vision, Dental and Life Insurance
</li><li>403(b) Retirement plan (automatic employer contribution of 5% per paycheck!)
</li><li>Paid Time Off and Holidays
</li>Employee Discounts for Care<br>
<li>
</li></ul></li></ul><p></p><br>
<br>
Monday - Thursday 7:00 AM - 5:00 PM and Friday 7:00 AM - 12:00 PM.
<br>
40 - Hours</div>

Value Based Care Specialist

TeleSpecialists

<p></p><div><p><b>About Us:</b></p><p>
TeleSpecialists is transforming healthcare delivery as the nation's largest and fastest-growing digital healthcare leader. By providing expert neurological and psychiatric care directly to over 400 hospitals and health systems across the country, we don't just provide care; we pioneer solutions that make quality healthcare easily accessible.</p><p>
Join a team where your passion meets our purpose. If you&rsquo;re inspired by innovation, thrive in a collaborative and entrepreneurial environment, and want to be a part of a team that&rsquo;s reshaping the future of patient care, we want you on our team. At TeleSpecialists, you'll discover more than just a job. You will be able to experience meaningful work, accelerated career growth, and the opportunity to redefine healthcare for the future.</p><p><b>
Tele Specialists Offers:</b></p><ul><li>
A great culture with a team environment</li><li>
A fun, diverse work environment</li><li>
A rapidly growing company with career advancement opportunities</li><li>
Medical, Dental and Vision benefits</li><li>
Tuition Reimbursement</li><li>
401k match</li><li>
Paid Vacation</li><li>
Leadership Training Classes</li><li>
Mentorship Program</li></ul><p></p><p><b><br>
About The Role:</b></p><p>
The Quality Program Specialist supports high-quality performance between TeleSpecialists and its hospital partners for Tele-Neurology services, including Stroke Alert protocols and inpatient neurological care. This role champions continuous improvement and error reduction initiatives through data-driven analysis, quality improvement tools, and strong client collaboration. Reporting to Quality leadership, the Quality Program Specialist supports service implementation from go-live through contract renewal, strengthens customer relationships, and contributes to improved patient outcomes, customer satisfaction, contract retention, and overall organizational performance</p><p><b>
 Essential Duties and Responsibilities:</b></p><p>
Customer and Program Support</p><ul><li>
Supports customer implementation activities, including value stream mapping and go-live execution</li><li>
Manages ongoing customer performance improvement relationships</li><li>
Serves as a liaison between TeleSpecialists virtual neurology providers, client physicians, and medical staff offices</li><li>
Provides program management support for internal and external quality-related initiatives</li></ul><p>
Quality Management and Compliance</p><ul><li>
Ensures processes align with ISO, DNV, and The Joint Commission standards</li><li>
Serves as the primary quality control resource for issue identification, resolution, and continuous improvement between TeleSpecialists and client sites</li><li>
Implements and documents procedures related to process control, quality review, and process improvement</li><li>
Establishes and monitors performance metrics to assess system effectiveness and support customer decision-making</li></ul><p>
Data Analysis and Continuous Improvement</p><ul><li>
Performs root-cause analysis and problem-solving activities to identify corrective actions and improvement opportunities</li><li>
Collaborates in the collection and analysis of data to identify trends impacting service quality</li><li>
Interacts with customers to gather feedback and identify opportunities to improve quality and service delivery</li><li>
Reports quality issues, trends, barriers, and losses to Quality leadership</li></ul><p>
Audit, Education, and Patient Engagement</p><ul><li>
Participates in internal and external quality audits as requested</li><li>
Supports education and training initiatives for client hospitals to drive continuous improvement in patient-focused processes</li><li>
Completes patient call-backs related to modified Rankin Scale outcomes and patient satisfaction</li><li>
Promotes a strong customer-focused mindset across the organization and ensures corrective actions are implemented effectively</li></ul><p><b>
Qualifications:</b></p><ul><li>
Minimum of five years of clinical experience in stroke care, emergency department, critical care, or stroke coordination</li><li>
Strong critical thinking, analytical, and problem-solving skills</li><li>
Demonstrated experience using quality improvement tools such as PDCA, Pareto analysis, fishbone diagrams, and basic statistics</li><li>
Excellent written and verbal communication skills at both conceptual and tactical levels</li><li>
Ability to prioritize and manage multiple time-sensitive activities across internal and external stakeholders</li><li>
Strong organizational skills, including independent calendar management</li><li>
Proven ability to create clear technical documentation, job instructions, and clinical protocols</li><li>
High emotional intelligence with the ability to work effectively with a diverse and challenging client base</li><li>
Effective facilitation and conflict resolution skills for both in-person and remote collaboration</li><li>
Willingness to proactively seek and provide feedback and coaching</li></ul><p></p><p><b><br>
Knowledge, Skills, and Abilities:</b></p><ul><li>
Clinical knowledge of stroke care, emergency department, and critical care environments</li><li>
Knowledge of quality management systems and accreditation standards (ISO, DNV, The Joint Commission)</li><li>
Proficiency with quality improvement tools, including PDCA, Pareto analysis, fishbone diagrams, and root cause analysis</li><li>
Strong critical thinking and data-driven analytical skills</li><li>
Effective written and verbal communication skills at both conceptual and tactical levels</li><li>
Ability to perform process mapping, troubleshooting, and clinical performance improvement</li><li>
Strong organizational and time management skills to prioritize multiple time-sensitive activities</li><li>
Technical writing skills to develop clinical protocols and job instructions</li><li>
Ability to facilitate discussions, manage conflict, and work across co-located and remote teams</li><li>
Emotional resiliency and ability to work effectively with a diverse and challenging client base</li></ul><p><b>
Travel Requirements (if applicable): </b>Up to 30%</p><p><b>
Other Duties:</b></p><p>
This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the position. Duties, responsibilities, and activities may change or be assigned at any time based on business needs.</p><p><b>
Physical Requirements:</b></p><ul><li>
Must be able to remain in a stationary position (sitting or standing) for prolonged periods, often up to 75% of the workday.</li><li>
Needs to occasionally move about inside the office to access file cabinets, office machinery, or shared workspaces.</li><li>
Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and printer.</li><li>
Must be able to exchange accurate information with clients and co-workers in person, over the phone, and via digital platforms.</li><li>
Occasionally moves or transports office supplies, files, or equipment weighing up to 25 pounds.</li><li>
Occasionally positions self to maintain files in cabinets or access equipment stored in low or high areas.</li><li>
Requires close visual acuity to perform activities such as preparing and analyzing data, transcribing, and viewing a computer monitor for extended periods.</li></ul><p></p><p><b><br>
Equal Employment Opportunity &amp; ADA Statement</b></p><p>
The Company is an equal opportunity employer and is committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other status protected by applicable law. The Company will provide reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws.</p></div><p></p>

Quality Program Specialist

Health Net

<div><p>You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you&rsquo;ll have access to competitive benefits including a fresh perspective on workplace flexibility.<br>
</p><p><b>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</b></p><p><b>
** Must live in California. Telephonic member outreach.</b></p><p><b>
** Preference for Bi-Lingual Spanish.</b></p><p><b>
Position Purpose:</b><br>
Works with members and providers to close care gaps, ensure barriers to care are removed, and improve the overall member and provider experience through outreach and face-to-face interaction with members and providers at large IPA and/or group practices. Serves to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS measures and coding. Supports the implementation of quality improvement interventions and audits in relation to plan providers. Assists in resolving deficiencies impacting plan compliance to meeting State and Federal standards for HEDIS. Conducts telephonic outreach, while embedded in the providers' offices, to members who are identified as needing preventive services in support of quality initiatives and regulatory/contractual requirements. Provides education to members regarding the care gaps they have when in the providers office for medical appointments. Schedules doctor appointments on behalf of the practitioner and assists member with wraparound services such as arranging transportation, connecting them with community-based resources and other affinity programs as available. Maintains confidentiality of business and protected health information.</p><ul><li>
Acts as a liaison and member advocate between the member/family, physician and facilities/agencies.</li><li>
Acts as the face of WellCare in the provider community with the provider and office staff where their services are embedded.</li><li>
Advises and educates Provider practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding in accordance with NCQA requirements.</li><li>
Assesses provider performance data to identify and strategizes opportunities for provider improvement.</li><li>
Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment, Operations (claims and encounters).</li><li>
Schedules doctor appointments for members with care gaps to access needed preventive care services and close gaps in care in the provider&rsquo;s office.</li><li>
Conducts face-to-face education with the member and their family, in the provider&rsquo;s office, about care gaps identified, and barriers to care.</li><li>
Conducts telephonic outreach and health coaching to members to support quality improvement, regulatory and contractual requirements.</li><li>
Arranges transportation and follow-up appointments for member as needed.</li><li>
Documents all actions taken regarding contact related to member.</li><li>
Interacts with other departments including customer service to resolve member issues.</li><li>
Refers to case or disease management as appropriate.</li><li>
Completes special assignments and projects instrumental to the function of the department. Performs other duties as assigned.</li><li>
Complies with all policies and standards.</li></ul><p><b>
Education/Experience:</b><br>
<br>
<b>Required:</b> a Bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Social Work, Health Administration, or related health field or equivalent work experience required (a total of 4 years of experience required for the position); work experience should be in direct patient care, social work, quality improvement or health coaching preferably in a managed care environment. 2+ years of experience work experience should be in direct patient care, social work, quality improvement or health coaching preferably in a managed care environment.<br>
<br>
<b>License/Certification:</b> One of the following is preferred. Licensed Practical Nurse (LPN); Licensed Master Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse (RN) preferred.</p>
Pay Range: $27.02 - $48.55 per hour<p>
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.</p><p><br>
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p></div>

Patient Care Advocate

Hitachi Energy

<div>
 <strong>
  The opportunity
  <br/>
  <br/>
 </strong>
 Under the supervision of BU, GPP/HUB or Local QMS managers supports implementation and maintenance of Quality Management System (QMS) in their area of responsibility in accordance with the Business Unit&rsquo;s QMS, applicable standards and internal regulations. Organizes and conducts
 <br/>
 <br/>
 internal audits and support certifications audits. Responsible for process definition with its acceptance criteria and provide relevant trainings and instructions to the teams within their area of responsibility about the processes. Participates in Quality Improvement Plan (QIP) and continuous improvement
 <br/>
 <br/>
 activities.
 <br/>
 <br/>
 <strong>
  How You&rsquo;ll Make An Impact
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Implements and ensure adherence to applicable QMS within their area of responsibility. When applicable managers and mentors the quality professionals under their responsibility.
  </li>
  <li>
   Provides leadership and technical expertise in Quality Management System solutions to the teams in their area of responsibility.
  </li>
  <li>
   Ensures all necessary training for QMS is available at the appropriate tools or platforms and the organization is aware and trained.
  </li>
  <li>
   Supports integrating the Voice of the Customer into the QMS framework through effective implementation of customer feedback processes, such as customer surveys, complaint resolution, and comprehensive analysis of customer feed-back data.
  </li>
  <li>
   Ensures the business process mapping (BPM) is available, released and showing the up-to-date process landscape of their scope in appropriate tool (e.g. Adonis).
  </li>
  <li>
   Ensures the document management system (DMS) holds all relevant QMS related documents as official, controlled documents.
  </li>
  <li>
   Prepares and assists regular internal audits with all business relevant functions/departments and processes. Preferably use the GQSA (global quality self-assessment) approach and Intelex tool to document internal audits.
  </li>
  <li>
   Prepares and assists external ISO 9001 audits with external certification bodies that are approved by Hitachi Energy.
  </li>
  <li>
   Contributes to maintenance of an effective quality governance framework within their area of responsibility. This includes assisting in the development and implementation of quality procedures and practices in accordance with established standards and regulations.
  </li>
  <li>
   Implements process performance metrics and indicators to assess process efficiency, while closely monitoring critical parameters.
  </li>
  <li>
   Collaborates with cross-functional teams to support identified continuous improvement initiatives &amp; supports execution of the BU Quality Improvement Plan (QIP) within their area of responsibility.
  </li>
  <li>
   You will be responsible for ensuring compliance with applicable external and internal regulations, procedures, and guidelines.
  </li>
  <li>
   Living Hitachi Energy core values of safety and integrity, which means taking responsibility for your own actions while caring for your colleagues and the business.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Your background
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor&rsquo;s Degree in Engineering &amp; preferably Electrical or Mechanical.
  </li>
  <li>
   2-3 years of experience in Quality Management (QMS).
  </li>
  <li>
   Internal Auditor Certification is preferable.
  </li>
  <li>
   Lean 6Sigma, Yellow Belt (Quality) is preferable.
  </li>
  <li>
   Lean 6Sigma, Green Belt (Q&amp;CI) is preferable.
  </li>
  <li>
   Experienced representing the interests and requirements of the business.
  </li>
  <li>
   Ability to generate new ideas and challenge status quo.
  </li>
  <li>
   Proficiency in both spoken and written English and Arabic language is required.
   <br/>
   <br/>
  </li>
 </ul>
 Hitachi Energy is a global technology leader in electrification, powering a sustainable energy future through innovative power grid technologies with digital at the core. Over three billion people depend on our technologies to power their daily lives.
 <br/>
 <br/>
 With over a century in pioneering mission-critical technologies like high-voltage, transformers, automation, and power electronics, we are addressing the most urgent energy challenge of our time &ndash; balancing soaring electricity demand, while decarbonizing the power system.
 <br/>
 <br/>
 Headquartered in Switzerland, we employ over 50,000 people in 60 countries and generate revenues of around $16 billion USD. We welcome you to apply today.
</div>


Quality Engineer

Search 10000+ Quality improvement specialist jobs near you this April. New roles added regularly across leading industries. Apply today.