Quality Specialist
EPIC Health System
Quality Specialist Job Description The ideal candidate for this role is compassionate, flexible, self‑motivated, detail oriented, and a constant learner. As a Quality Specialist, you will be the subject matter expert for HEDIS/Gaps in Care measures. You will ensure maintenance of programs for patients in accordance with prescribed quality standards; conduct data collection, reporting and monitoring for key performance measurement activities recognized by the NCQA. Responsibilities Provides expertise in analysis of data related to supporting value‑based programs. Skills include accessing internal databases and tables as well as utilizing Excel skills. Participates in meetings with vendors for the medical record collection process and assists Manager with medical record vendor oversight. Participates in projects to ensure the strategic directives of the stakeholders are executed and time‑sensitive deadlines are met. Collaborate with providers and internal departments on rate investigation and validation activities, including maintaining all evidence, documentation, and changes. Monitor, evaluate and report on program status inclusive of scope, schedule, budget and alignment to program and strategic goals. Direct corrective action, as needed, to maintain the viability of value‑based reimbursement programs. Provide training and education to staff related to the data available, how to access it, and what metrics might be of interest. Qualifications Bachelor’s Degree in related field and two (2) years’ experience in the health industry. An equivalent combination of education and experience may be substituted to meet this requirement. HEDIS/Gaps in Care experience. Knowledge of payers and their requirements for each measure. Knowledge of Patient Centered Medical Homes and Accountable Care Organizations. Microsoft Office skills. The ability to work well in a team environment and be capable of building and maintaining positive relationships with other staff, departments, and customers. Tracking key performance indicators. Benefits Competitive compensation and benefits package. Bi‑weekly competitive pay. Opportunities for professional and personal growth. Excellent health insurance through Blue Care Network with a VIP policy. Premium dental and vision coverage. Buy‑up option for short‑ and long‑term disability, and life & AD&D insurance. 401(k) investment opportunities. Generous holiday, vacation and personal time. Work/life balance. Employee recognition and assistance programs. #J-18808-Ljbffr EPIC Health System
- ...Summary Supports QSE projects throughout the organization, including both clinical and non‑clinical areas, to accomplish measurable quality improvement. Analyzes and measures the effectiveness of existing processes and helps to develop sustainable, repeatable and...SuggestedFull timeMonday to FridayShift workWeekend work
- Corewell Health in Southfield, Michigan is seeking a dedicated professional to perform internal quality assessment reviews and educate coders on accurate and compliant coding practices. The role involves direct liaison with providers, reviewing billing and coding issues...Suggested
- ...Quality Specialist Location: Livonia, MI 48150 Duration: 6+ Month Contract with possibility of extension and FTE Shift: Mon - Fri (Occasional Saturday) (6am - 2:30pm) Job Description To perform this job successfully, an individual must be able...SuggestedContract workWork at officeShift work
- ...Job Summary The Quality Specialist is responsible for developing, maintaining and updating the IATF16949 documentation to ensure a world class quality product is being installed on our customer's vehicles. Documentation development and input includes work instructions...Suggested
- ...Quality Assurance Manager At Thermo Fisher Scientific team, you'll discover impactful work, innovative thinking and a culture dedicated to working the right way, for the right reasons - with the customer always top of mind. The work we do matters, like helping customers...Suggested
- ...Linamar Structures Czechia s.r.o. is looking for a Quality Technician 2 located in Southfield, Michigan. The role involves conducting floor audits, managing gage operations, and assisting in quality assessments. Qualified candidates should have significant experience in...
- ...A healthcare provider in Southfield, Michigan is seeking a Quality Specialist. The role requires strong data analysis skills and experience with HEDIS and Gaps in Care measures. Responsibilities include monitoring quality standards for patient care, collaborating with...
- Talascend is currently seeking a Quality Control Specialist position in Livonia, MI. OVERVIEW: This Quality Specialist is responsible for documenting and reporting inspections, testing and audit findings. The role will participate in problem solving and continual improvement...Work at office
- ...Description: Description About Team Quality Services For over 25 years, Team Quality Services has established itself as a leader in quality-related services across North America. Our target customers are manufacturers and suppliers to various industries...Hourly payContract workWork at officeLocal area
$115k - $192.9k
About the Role We are looking for a UX Quality Specialist to help shape the future of digital and physical spaces within the cockpits of Ford and Lincoln vehicles. Working within a diverse cross‑disciplinary team, you will identify cabin control strategies and ensure that...Work at officeImmediate startFlexible hours- Ford Motor Company is seeking a UX Quality Specialist to enhance digital and physical spaces within Ford and Lincoln vehicles. This hybrid position, requiring in-office attendance four days a week, is based in Dearborn, MI. The ideal candidate will collaborate with cross...Work at officeFlexible hours
- Dormont Manufacturing Co is hiring a Quality Specialist II at our Detroit, Michigan facility. This role focuses on supporting product release activities and maintaining compliance with ISO 13485 standards. Qualified candidates must hold a Bachelor’s Degree in a scientific...
- ...Certified Home Health Coder & QA Specialist Become a part of the Hope At Home Family! We currently have a position available for a Certified Home Health Coder & QA Specialist. Position Summary: Certified Home Health Coder & QA Specialist is required to have...
- ...Job Summary Performs internal quality assessment reviews and education (as needed/identified) on all applicable Corewell Health... ...- AAPC American Academy of Professional Coders CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association...Full timeMonday to FridayShift workWeekend work
- ...third‑party carrier and Customer when the validity of claims data is in question. Create Standardized work procedures (SOS/JES) for quality/claims activities. Work with Customer to establish and support strategies for continuous improvement of the quality at third‑party...
$56k - $84k
CNS Healthcare in Novi, Michigan, is seeking a Quality Evaluator to design and implement evaluation activities ensuring compliance with quality standards. This role involves analyzing data and collaborating with teams to produce recommendations for improvement. Candidates...Remote job- ...their success, which is why more than 75% of our clients rank us amongst their top three staffing suppliers. Job Description Title: Quality Analyst Location: Southfield, MI Duration: 12 month (may extend) Our top direct client is looking for a Quality Analyst for a long...
- ...Quality Administrator PHINIA is currently looking for a "dynamic, results driven" individual to join as a Quality Administrator at our Aftermarket Remanufacturing Plant in Troy, MI. This person will be responsible for providing support for our warrant management systems...Full timeImmediate startVisa sponsorshipWork visa
- A leading IT staffing firm is seeking a Quality Analyst for a long-term project in Southfield, MI. The ideal candidate will be part of a Scrum team, responsible for developing automation testing and closely collaborating with development teams. Key qualifications include...
- Network Medical Review is seeking a Clinical Quality Assurance Coordinator. This role, designed for licensed nursing professionals, allows you to work 100% remote while ensuring the quality of peer review case reports. Responsibilities include reviewing reports for compliance...Remote job
- ...all products meet high standards. The auditor will be responsible for auditing processes on the production floor and assisting with quality assurance and process improvements. The ideal candidate needs strong attention to detail and leadership skills, and should be...
$23 - $27.02 per hour
...The Quality Analyst is responsible for quality assurance of new implementations, existing client benefit changes, and continuous process improvement. The Quality Analyst ensures every phase and feature of the client solution is audited and tested and that any potential...Hourly payContract workTemporary workWork experience placementLocal areaRemote work- Adient plc in Warren, MI is searching for a Quality Engineer to support daily quality assurance activities and drive continuous improvement. The role requires a minimum of 1 year experience in automotive manufacturing, understanding of PPAP, and a bachelor's degree in a...
- MMI Engineered Solutions is currently seeking a Quality Auditor for our (Third Shift 10:45 PM - 7:15 AM Sunday - Thursday) Warren, Michigan facility. Our ideal candidate will have proven experience in performing dimensional checks on parts manufactured using fixture gage...Work experience placementImmediate startShift work
- Get notified about new Associate Director Quality Assurance jobs in United States . 1,000+ Associate Director Quality Assurance Jobs in United States Food Safety & Quality Assurance Manager (FSQA) Manager, Quality Assurance (QA), Global QMS Quality Assurance Manager...Remote work
- The Quality Systems Auditor role involves planning and conducting internal and external audits to ensure compliance with quality management systems and industry standards, coordinating corrective actions, maintaining audit documentation, collaborating with teams for continuous...Work at office
- Ms Companies, LLC in Warren, Michigan is looking for a Quality Technician to support quality assurance activities within an automotive manufacturing environment. This role involves performing process and product audits, supporting problem-solving initiatives, and ensuring...
- ...Employment with UWM is "at-will." UWM is an Equal Opportunity Employer. By selecting “Apply for this job online” you provide consent to UWM to record phone call conversations between you and UWM to be used for quality control purposes. #J-18808-Ljbffr United Wholesale MortgageFull timeContract workWork at office
$18 per hour
...benefits such as health insurance, a 401(k) match, and tuition reimbursement. Successful candidates will conduct assembly tasks, perform quality inspections, and contribute to continuous improvement activities. Magna fosters an inclusive work environment and prioritizes...Hourly pay- RXO is seeking an Associate Specialist in Quality to help drive continuous improvement and achieve customer quality metrics. This role involves maintaining databases, monitoring third party carrier performance, and preparing analytical reports to support business decisions...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Quality Specialist. Be the first to apply!
- rn quality Southfield, MI
- quality distribution Southfield, MI
- water quality Southfield, MI
- water quality scientist Southfield, MI
- quality improvement rn Southfield, MI
- quality management nurse Southfield, MI
- quality improvement nurse Southfield, MI
- quality tech Southfield, MI
- quality intern Southfield, MI
- quality lead Southfield, MI

