Quality Improvement Specialist VI - SME

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for underserved communities.

Best People, Best Solutions, Best Results

Job Summary

Performs project management activities to help facilitate the successful implementation and completion of quality improvement projects in various delivery settings, coordinating project tasks and assignments with other QI team members. Conducts baseline analysis of current practices and utilizes quality improvement tools to identify opportunities for improving processes and procedures. Contributes to the maintenance and revision of quality-related policies and procedures, ensuring they are up-to-date with the latest healthcare regulations and best practices.

Essential Functions

• Works with interdisciplinary team to plan and develop strategies to meet contract objectives and to ensure activities are completed in a timely manner.
• Plans and monitors workflow based on contract requirements and shifting demands to ensure work meets all contract deliverable deadlines, both internal and external. Monitors and documents progress of assigned quality initiatives and studies.
• Assists management in development of solutions to problems as they relate to procedures and processes, as well as identified problems.
• Identifies and resolves customer support and program issues.
• Develops and fosters relationships with providers, stakeholders, team members, partners and ancillary organizations coordinating activities and managing these relationships through the project duration.
• Develops and keeps current database of contacts and interactions for assigned projects or contacts. Participates in professional organizations to keep them apprised of activities as it relates to the contract and attends meetings/conferences as assigned.
• Identifies opportunities to improve processes and procedures and uses quality improvement tools to continuously improve all processes.
• Coordinates and/or leads meetings of all types, internal and external, and participates on and/or leads committees as assigned including development and delivery of presentations for internal and external customers.
• Maintains a comprehensive clinical and/or technical knowledge of all assigned projects relevant processes, and regulatory issues. Provides technical guidance to the analytical team.
• Prepares and maintains materials and information for provider use in QI initiatives or identified projects. Interacts with customers on-site, by phone, and via the web explaining QI initiatives, providing training, and technical support.

Level of Supervision Received: Plans and arranges own work and the team's work. Refers only unusual cases to manager and others

Education (can be substituted for experience): Minimum Master's Degree required

Work Experience (can be substituted for education): 15+ years of experience required

Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.

Qlarant is a drug-free workplace. All offers of employment are contingent upon successful completion of pre-employment background and drug screens.