Clinical Quality Specialist - Large/Central Hospitals/Medical Group/Home Care/Hospice/OnCall
About The Position
The Clinical Quality Specialist supports the monitoring, analysis, and improvement of clinical quality performance across the operating unit. This role is responsible for evaluating performance on regulatory, pay-for-performance, and publicly reported metrics, and partnering with clinical and operational teams to drive improvement initiatives. The Clinical Quality Specialist serves as a subject matter resource on clinical quality definitions and performance methodologies, connecting stakeholders across quality, coding, clinical documentation integrity (CDI), and revenue cycle to ensure accurate measurement and optimal outcomes. This role utilizes data, analytics, and predictive insights to inform strategy and support achievement of organizational quality goals.
Requirements
- Associate degree
- 2 years of healthcare experience in a quality or clinical role
- Certified Professional in Healthcare Quality (CPHQ) within 3 years of hire into role and must maintain certification.
- Excellent interpersonal and communication skills.
- Solid computer skills, including proficiency with Microsoft software.
- Strong analytical and problem-solving skills, with the ability to be detail oriented.
Nice To Haves
- Associate degree in nursing
- Experience with CMS programs, eCQMs, or registry reporting.
- Experience with data analytics tools and performance dashboards.
- Active RN license or current state license in field of study
Responsibilities
- Supports the monitoring, analysis, and improvement of clinical quality performance across the operating unit.
- Evaluates performance on regulatory, pay-for-performance, and publicly reported metrics.
- Partners with clinical and operational teams to drive improvement initiatives.
- Serves as a subject matter resource on clinical quality definitions and performance methodologies.
- Connects stakeholders across quality, coding, clinical documentation integrity (CDI), and revenue cycle to ensure accurate measurement and optimal outcomes.
- Utilizes data, analytics, and predictive insights to inform strategy and support achievement of organizational quality goals.
Benefits
- Comprehensive and market-competitive total rewards package
- Benefits, compensation, recognition and well-being offerings
- Focus on the whole person and engage with their current stage of life and career
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
