quality improvement specialist

Edgewater Federal Solutions

<div>Overview:
<div>
Edgewater Federal Solutions is seeking a Quality &amp; Service Improvement Specialist to support a major national laboratory.</div>
Responsibilities:
<ul><li>Analyze ticket trends, service metrics, and customer feedback to identify patterns, highlight issues, and support data-driven improvement recommendations.</li><li>
Support and execute service improvement initiatives, including tracking actions, documenting progress, and assisting with implementation of process enhancements.</li><li>
Capture, structure, and maintain detailed meeting notes, including decisions, action items, risks, and follow-ups, ensuring alignment and accountability across stakeholders.</li><li>
Quality Assurance Quality Control duties, to include: review, edit, and format program communications, reports, knowledge articles, and deliverables for grammar, clarity, consistency, and executive-level quality prior to distribution and ensuring they meet established quality standards.</li><li>
Prepare recurring and ad hoc reports, dashboards, and summaries for leadership, ensuring accuracy, clarity, and alignment with program objectives.</li><li>
Develop, document, and maintain SOPs, process flows, knowledge articles, and operational procedures across service desk, desktop support, and asset management functions.</li><li>
Collaborate with technical teams (service desk, desktop/field support) to understand workflows, document processes, and identify opportunities for efficiency and standardization.</li><li>
Maintain and track the service improvement backlog, ensuring items are documented, prioritized, and followed through to completion.</li><li>
Support quality assurance activities, including documentation reviews, ticket audits, and adherence to defined processes and standards.</li><li>
Ensure consistency in documentation, reporting formats, and communication standards across the program.</li><li>
Perform other duties as assigned to support program operations, reporting, and continuous improvement initiatives.</li></ul>
Qualifications:
<ul><li>Bachelor&rsquo;s degree preferred; equivalent experience accepted.</li><li>
2&ndash;5 years of experience in IT support, service desk, desktop support, business analysis, or process/documentation-focused roles.</li><li>
Working knowledge of IT support environments (service desk, desktop support, endpoint support) strongly preferred.</li><li>
Strong writing, editing, and documentation skills with high attention to detail.</li><li>
Ability to organize information, manage multiple priorities, and follow through independently.</li><li>
Strong communication skills with the ability to work across technical and non-technical teams.</li></ul><div>
About Us:</div><div>
Edgewater Federal Solutions is a privately held government contracting firm located in Frederick, MD. The company was founded in 2002 with the vision of being highly recognized and admired for supporting customer missions through employee empowerment, exceptional services and timely delivery. Edgewater Federal Solutions is ISO 9001, 20000-1, 270001 certified, appraised at CMMI Level 3 Maturity for Development and Services, and has been named in the Top Workplaces in the Greater Washington Area Small Companies for 2018 through 2025.</div><div></div><div> 
It has been and continues to be the policy of Edgewater Federal Solutions to provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, veteran status, and/or other statuses protected by applicable law.</div></div>

Quality & Service Improvement Specialist

Desert Parkway Behavioral Healthcare Hospital

<div>The position is a clinical/quality improvement specialist responsible for incident investigation, data analytics, regulatory compliance monitoring, and CMS aligned grievance management. This role requires clinical judgment or formal regulatory/quality training to interpret behavioral health events, identify trends, and support organizational risk mitigation strategies.
KEY RESPONSIBILITIES:
Clinical/Regulatory Investigation &amp; Analysis<ul><li>
Conduct clinical‑level incident investigations (self‑harm, elopement, medication events, restraint/seclusion).</li><li>
Perform root cause analyses (RCA, FMEA).</li><li>
Evaluate clinical documentation for accuracy and regulatory compliance.</li><li>
Identify system‑level contributing factors and corrective actions.</li><li>
Collaborate with Nursing, Medical Staff, and Clinical Services on high‑risk events.</li></ul>
 Data &amp; Trend Analytics<ul><li>
Analyze incident data using statistical methods.</li><li>
Develop trend reports, dashboards, and risk profiles.</li><li>
Identify emerging patterns requiring intervention.</li><li>
Review and document within the incident reporting application.</li><li>
Present findings to leadership and committees.</li></ul>
 Regulatory Compliance<ul><li>
Monitor compliance with CMS, Joint Commission, and state regulations.</li><li>
Support survey readiness and mock tracers.</li><li>
Assist with policy development and regulatory updates.</li></ul>
Complaint and Grievance Management<ul><li>
Manage complaint and grievance intake, documentation, and timelines.</li><li>
Ensure CMS‑compliant investigation and written responses.</li><li>
Track complaint and grievance trends and identify systemic issues.</li></ul> 

Requirements 
<ul><li>
Valid Nevada licensure as a Registered Nurse required
</li><li>Valid Nevada licensure as a Licensed Practical Nurse may be considered with equivalent healthcare and QI experience in lieu of RN license</li><li>
Certification in healthcare quality, compliance, or risk preferred</li><li>
Minimum three (3) years previous experience in healthcare regulatory compliance, quality, or risk required</li><li>
Hospital experience required; behavioral health clinical experience preferred</li><li>
Experience with incident investigation and RCA methodology</li><li>
Experience with survey readiness activities (CMS, Joint Commission, or state)</li><li>
Experience using incident reporting systems and managing data integrity</li><li>
Knowledge of CMS grievance regulations</li><li>
Ability to interpret clinical documentation and apply regulatory standards</li></ul> 

Benefits 
A full benefits package is available the first of the month following just one month of employment.
Desert Parkway offers competitive benefits for full-time employees to include:<ul><li>
Medical insurance
</li><li>Dental insurance</li><li>
Vision insurance
</li><li>401K Retirement Plan</li><li>
Healthcare spending account</li><li>
Dependent care spending account</li><li>
PTO Plan with holiday premium pay</li><li>
Discounted cafeteria meal plan</li><li>
Life insurance (including plans for spouse and children)</li><li>
Short- and long-term disability (with additional buy-in opportunities)</li><li>
Pet Insurance</li><li>
Identity Theft Insurance</li></ul></div>

Clinical Quality and Risk Coordinator

STARS Behavioral Health Group

<div><h1 class="jobSectionHeader">Partner with us in making a positive change!</h1>
Join a team where your work truly matters. We're proud to have been certified as a Great Place to Work for 8 years by our own employees. We invite you to partner with us in our mission to improve mental healthcare.
Job Title:
Quality Assurance Specialist
Division/Program:
Olive View Crisis residential Treatment - Central Star
Starting Compensation:
23.00-25.00 USD Per Hour
Working Location:
Sylmar, CA
Working Hours/Shift:
Sunday-Thursday 8am-4:30pm
Why Join Our Team?<ul><li>
Competitive Compensation: Offering a salary that matches your skills and experience.</li><li>
Generous Time Off: Enjoy ample vacation and holiday pay.</li><li>
Comprehensive Benefits Package:</li><li><ul><li>
Employer-paid medical, dental, and vision coverage.</li><li>
Additional voluntary benefits to support your lifestyle.</li></ul></li><li>
Professional Growth Opportunities:</li><li><ul><li>
On-the-job training with access to paid CEU opportunities.</li><li>
Career development programs designed to help you grow.</li><li>
Supervision for BBS hours for AMFT, ACSW, and APCC professionals (where applicable).</li></ul></li></ul>
Employee Recognition &amp; Rewards: A culture that celebrates and rewards your hard work and dedication<div><div><div>
What you bring to SBHG (qualifications):<ul><li>
Bachelor&rsquo;s degree in Quality Improvement/Quality Assurance, human services, psychology, or related social science field, or LVN license.
</li><li>Two (2) years of experience in the mental health field or a QA position required, preferably in in-patient setting.</li><li>
Two (2) years of experience in QA/TQM preferred.
</li><li>One (1) year experience in LACDMH clinical documentation preferred.</li><li>
Must possess a valid CA driver's license and maintain a driving record that meets the company driver eligibility policy.</li></ul>
How you will make a difference:
The Quality Assurance Specialist is responsible for the aiding the QA Manager in the execution of the quality assurance program policies and procedures for the Crisis Residential Treatment facilities. The position is responsible for auditing documentation to reconcile with billing and oversees documentation of services by staff to assure conformity with Medi-Cal, Los Angeles County DMH, other outside agencies, and internal standards and policies. The Quality Assurance Specialist manages all charts with deficiencies by processing them to the appropriate department for correction. The position is also responsible for ensuring the discharged chart is closed in the correct order and completed. Position aids the QA Manager in the oversight of the Continuous Quality Assurance program, medical records and records all CQI data. Assists in the coordination and development of CQI presentations and information gathering to execute presentations as needed. Activities performed can be time sensitive with expectations of frequent reporting of progress along with thorough oversight for accuracy. Regular interaction with all staff members, physicians, and outside agencies is expected. This position has responsibility for gathering and analyzing agency data and assisting in the agency&rsquo;s quality control, quality assurance, and quality improvement efforts. In addition, the Quality Assurance Specialist&rsquo;s duties will include but are not limited to ensuring that the chart documentation is maintained, data collection into the L.A. County data collection sites is maintained and other quality improvement tasks as assigned.
Division/Program Overview:
<ul><li>16-bed facilities</li><li>
Designed for adults with mental health challenges or a recent crisis who need intensive treatment.</li><li>
24/7 programs as an alternative to urgent care or hospitalization.</li><li>
Individuals can live on-site in a homelike setting for a short term while they receive counseling and learn basic living and interpersonal skills.</li><li>
Able to receive physical and psychological evaluation, mental health, and case management services, in addition to assistance locating permanent housing.</li></ul></div></div></div>
Learn more about SBHG at: https://www.starsinc.com/stars-inc/
For Additional Information:
samlopez@starsinc.com
In accordance with California law, the grade for this position is 24.84 - 39.74. Placement within the grade is determined based on experience, internal equity, and other factors permitted by law.</div>

Quality Assurance Specialist

Ghirardelli Chocolate

<div>Established in San Francisco since 1852, Ghirardelli has spent generations perfecting the craft of premium chocolate. From responsible sourcing to time-honored roasting and processing techniques, we honor the tradition of our iconic brand as we innovate and grow the business. We are fueled by a spirit of entrepreneurship and innovation, and that same passion shapes our workplace, where people are genuinely welcomed, supported, and encouraged to grow. If you're excited to join our welcoming and vibrant team that celebrates creativity, collaboration, and delicious possibilities, you'll feel right at home with us.

The Quality Analytics Specialist develops and maintains advanced analytical processes that support internal quality excellence in manufacturing. This role uses data‑driven methodologies to optimize performance, compliance, and quality standards while collaborating with cross‑functional teams to deliver actionable insights that guide facility decisions. The position leads analytical program implementation, applying data mining and statistical techniques to align data strategies with site objectives. It enhances integration across Operations, Maintenance, and Engineering through data visualization, reporting, and communication. The Specialist also drives continuous improvement by analyzing trends, maintaining quality documentation, and ensuring the integrity of all internal analytics.
Requirements:
<ul><li>Apply Lean Six Sigma principles to analyze data, identify quality improvement opportunities, and support excellence in manufacturing operations.
</li><li>Lead data‑driven root cause analyses for quality incidents and non‑compliance issues across internal teams.
</li><li>Develop, maintain, and enhance systems that track, analyze, and report key quality indicators.
</li><li>Oversee advanced analytical methods, tools, and resources to support effective decision‑making.
</li><li>Conduct ongoing trend analyses to identify emerging patterns and proactively address potential quality risks.
</li><li>Facilitate effective communication with internal and external partners to ensure timely issue resolution and drive actionable improvement plans.
</li><li>Develop and improve documentation to ensure clarity, accuracy, and compliance with analytical and quality standards.</li>
<li>Analyze, verify, and document quality data to ensure alignment with internal, customer, and regulatory requirements.
</li><li>Monitor and maintain the integrity of internal data systems and reporting tools to meet operational and certification requirements.</li>
<li>Collaborate with cross‑functional teams to generate accurate product specifications, respond to customer requests and complaints, and support overall quality objectives.</li>
<li>Perform other duties as assigned.</li>
</ul>
 
Compensation: $74,799 - $97,249</div>

Quality Analytics Specialist

Molina Healthcare

Job Description
 
Job Summary
 
The Sr Specialist, Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid). Executes health plan’s member and community quality focused interventions and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including key performance measurement activities, reports intervention outcomes, and supports continuous improvement of intervention processes and outcomes. Acts as a lead specialist within the department and/or collaboratively with other departments.
 
Please make sure to update your resume with any previous HEDIS/Quality Improvement and/or Medicare Stars experience. We look forward to reviewing!
 
Job Duties
 
Acts as a lead specialist to provide project, program, and/or initiative related direction and guidance for other specialists within the department and/or collaboratively with other departments
 
Implements evidence-based and data-informed member intervention strategies, which may include initiating and managing member and/or community interventions (e.g., removing barriers to care) and other federal and state-required quality activities
 
Monitors and ensures that key member intervention activities are completed on time and accurately to present results to key departmental management and other Molina departments as needed
 
Writes narrative reports to interpret regulatory specifications, explain programs and results of programs, and document findings and limitations of department interventions
 
Creates, manages, and/or compiles the required documentation to maintain critical program milestones, deadlines, and/or deliverables
 
Participates in quality improvement activities, meetings, and discussions with and between other departments within the organization
 
Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based organizations
 
Evaluates project/program activities and results to identify opportunities for improvement
 
Surfaces to the Manager and Director any gaps in processes that may require remediation
 
Other tasks, duties, projects, and programs as assigned
 
This position may require same-day out-of-office travel 0 - 10% of the time, depending upon location
 
This position may require multiple days out-of-town overnight travel on occasion, depending upon location
 
Job Qualifications
 
REQUIRED QUALIFICATIONS: 
Bachelor's Degree or equivalent combination of education and work experience.
 
3 years’ experience in healthcare with a minimum of 2 years’ experience in health plan member interventions, managed care, or equivalent experience.
 
Demonstrated solid business writing experience.
 
Operational knowledge and experience with Excel and Visio (flow chart equivalent)
 
Demonstrates flexibility when it comes to changes and maintains a positive outlook.
 
Has excellent problem-solving skills.
 
PREFERRED QUALIFICATIONS: 
1 year of experience in Medicare and in Medicaid managed care
 
Experience with data reporting, analysis, and/or interpretation
 
Certified Professional in Health Quality (CPHQ)
 
Nursing License (RN may be preferred for specific roles)
 
Certified HEDIS Compliance Auditor (CHCA)
 
Experience with improvement models: IHI, PDSA, Six Sigma
 
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing
 
Molina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
 Pay Range: $54,922 - $107,099 / ANNUAL
 <ul>
<li>Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.</li>
</ul>

Senior Specialist, Member & Community Interventions - HEDIS / Stars / Quality Improvement (Remote in OH)

Community Clinic

<div>About Us
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: We care. You belong.
Position summary
The Lead Value-Based Care (VBC) Specialist plays a critical role in improving the organization&rsquo;s performance under value-based care and population health programs. This position supports the execution of quality improvement strategies designed to improve clinical outcomes, enhance patient engagement, and maximize value-based incentive revenue across federal, state, and commercial payer programs. The role bridges clinical teams, analytics, quality improvement initiatives, and payer programs to support implementation of quality initiatives designed to improve value-based care performance
Position Details
Location: Flexible, can choose from multiple locations in Northwest Arkansas
Employment Status: Full-Time
Department: Quality
Reports to: Value-Based Care Strategy Manager
Classification: Non-Exempt (Hourly)
Essential job functions<ul><li>
Monitor performance across HEDIS, UDS, Medicaid, Medicare, and commercial payer programs.</li><li>
Review quality reports to identify care gaps and support improvement efforts with clinic teams.</li><li>
Develop dashboards and track progress toward quality targets.</li><li>
Use EHR and reporting tools to review patient care gaps and support clinic teams.</li><li>
Validate reporting accuracy for payer submissions and regulatory reporting.</li><li>
Identify patient care gaps and develop strategies with clinics, providers, and care teams to improve preventive care and chronic disease management outcomes.</li><li>
Provide education and support to clinic teams on quality metrics, documentation, and best practices for improving value-based performance.</li><li>
Collaborate with Revenue Cycle, Care Coordination, Managed Care, and Clinical Operations to align workflows supporting VBC success.</li><li>
Assumes responsibility for VBC Specialist activities in the absence of the VBC Strategy Manager and reports to the Vice-President of Revenue Cycle Management/Quality.</li><li>
Oversees the daily functions of VBC Specialists, or other Population Health staff</li><li>
Assists the VBC Strategy Manager in leading VBC Specialists and population health staff by:<ul><li>
Training and onboarding new VBC Specialists or staff supporting quality and population health initiatives.</li><li>
Providing ongoing mentorship, guidance, and technical support related to quality metrics, reporting processes, and value-based program requirements.</li><li>
Supporting the development and maintenance of training materials, workflows, and best-practice guides for clinic teams.</li></ul></li><li>
Adhere to applicable regulatory guidelines and laws, including but not limited to HIPAA/HITECH, CLIA, HRSA and OSHA/Blood-Borne Pathogens regulations and standards.</li></ul>
Community Clinic Essential Competencies<ul><li>
Service: Treats every patient and coworker with empathy, respect, and a genuine desire to help.</li><li>
Ownership: Takes responsibility for their actions, follows through on commitments, and upholds high standards even when no one is watching.</li><li>
Adaptability: Remains flexible, open to change, and willing to learn in order to meet the evolving needs of our patients, teams, and organization.</li><li>
Collaboration: Works together with openness and respect, shares information freely, and supports co-workers to provide seamless, high-quality care.</li><li>
Problem Solving: Approaches challenges with curiosity, finds practical solutions, and takes initiative to improve processes and patient experiences.</li></ul>
Role Specific Essential Skills<ul><li>
Analyze clinical quality data, dashboards, and reports</li><li>
Perform root cause analysis to close care gaps through workflow improvements and patient outreach</li><li>
Translate payer requirements and quality measures into effective clinical and operational workflows</li><li>
Lead and mentor VBC Specialists and population health staff</li><li>
Develop, and update training materials and standard operating procedure descriptions</li><li>
Communicate complex data insights, performance results, and improvement strategies clearly to clinical teams and leadership</li><li>
Proficiency with EHRs, population health platforms, and reporting tools</li><li>
Organizational and project management skills</li><li>
Commitment to continuous improvement</li></ul>
Required qualifications<ul><li>
Bachelor&rsquo;s degree in Public Health, Healthcare Administration, Health Informatics, Business, or related field or equivalent experience</li><li>
Two or more years of experience in healthcare quality improvement, population health, analytics, or value-based care</li><li>
Experience with HEDIS, UDS, or payer quality programs</li><li>
Strong analytical and communication skills</li><li>
Experience with electronic health records and reporting tools</li><li>
Proficiency in Microsoft Excel and data analysis tools</li></ul>
Preferred qualifications<ul><li>
Master&rsquo;s degree (MPH, MHA, MBA, or related field)</li><li>
Experience in a Federally Qualified Health Center (FQHC) or safety-net healthcare setting</li><li>
Experience supporting population health platforms</li><li>
Experience working with payer incentive or risk-based programs</li></ul></div>

Lead Value-Based Care Specialist

لدله الصحية

<div><div><div><div><h4 class="jobSectionHeader">Specialist - AdministrationFull Time</h4></div><div>
Posted On: Sunday, March 8th, 2026</div></div></div><div><div>
Description</div><div>
Job Purpose
To support patient perception efforts by collecting, analyzing, and reporting patient feedback data, and by contributing to initiatives that enhance the hospital&rsquo;s image, trust, and service satisfaction. Roles and Responsibilities Key Accountabilities Areas Key Activities Organizational Accountabilities:<ul><li>Ensure work is performed based on approved policies, processes, procedures, and instructions</li><li>Identify opportunities for continuous improvement of systems, processes and practices taking into account leading practices, cost reduction and productivity improvement</li><li>Ensure day-to-day activities are properly performed in line with policies and procedures</li><li>Follow-up on escalated cases/issues of subordinates to ensure they are closed efficiently and in a timely manner Functional Accountabilities:</li></ul>
 Assist in administering patient satisfaction and perception surveys
 Collect and compile patient feedback from multiple channels including digital tools, in-person interviews, and suggestion boxes
 Analyze feedback results to identify patterns and potential areas for service improvement
 Coordinate with relevant departments to address patient concerns or complaints
 Participate in the planning and implementation of service recovery programs
 Help prepare reports and presentations related to perception trends and KPIs
 Support awareness campaigns aimed at educating staff about patient perception and expectations
 Ensure all perception-related activities comply with regulatory and accreditation standards
 Maintain accurate records and databases of feedback and perception data
 Assist in benchmarking patient perception performance against industry standards</div></div><div><div>
Requirements</div><div>
Key Contacts Key Internal Stakeholders Key External Stakeholders
 Clinical Departments (Nursing, Physicians)
 Marketing and Communications
 Quality and Patient Safety Teams
 All staff
 Patients and Families
 Ministry of Health (MOH)
 Accreditation Bodies (e.g., CBAHI)
 External survey vendors or consultants
Job Qualifications and Requirements Knowledge and Experience
 1&ndash;3 years of experience in patient experience, quality, or data analysis roles within healthcare
 Familiarity with patient feedback tools and satisfaction indicators
 Understanding of healthcare systems and patient rights in Saudi Arabia Education and Certifications
 Bachelor&rsquo;s degree in Healthcare Administration, Public Health, Business, or related field Skills
 Strong communication and interpersonal skills
 Analytical thinking and data interpretation
 Organized and detail-oriented
 Team player with the ability to work cross-functionally
 Proficient in Microsoft Excel, PowerPoint, and data visualization tools
 Fluent in English and Arabic are an advantage Attitude
 Strong Work Ethic
 Dependability and Responsibility
 Possessing a Positive Attitude
 Adaptability
 Honesty and Integrity
 Self-Motivated
 Motivated to Grow and Learn
 Strong Self-Confidence Conditions
 This job description will become effective from the date signed by the employee.
 This job description shall be subject to periodic review and may be changed at any time, in consultation with the employee.</div></div><div>
Languages</div></div>

Specialist - AdministrationFull Time

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