Quality Improvement Spec III (CA) - Remote

Health Services Advisory Group, Inc.

2d • $106,000 - $127,000 • Remote

About The Position

Under supervision of the Director, the Quality Improvement Specialist (QIS) supports the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network–Quality Improvement Organization (QIN-QIO) Program by providing hands-on technical assistance and quality improvement (QI) support to healthcare providers—primarily nursing homes, hospitals, and physician practices. The QIS collaborates with providers to assess performance, conduct root cause analyses, and co-develop Quality Action Plans (QAPs) aligned with CMS priorities. This position plays a vital role in driving the adoption of evidence-based interventions, guiding providers through regulatory requirements, and helping them improve safety, care quality, and outcomes for Medicare beneficiaries through onsite visits, virtual coaching, and educational outreach.

Requirements

• Bachelor’s degree required; Master’s degree preferred.
• Minimum of 5 years of experience in a healthcare-related field, including QI experience.
• Strong written and verbal communication skills, including experience delivering presentations, conducting training, and engaging with providers via phone and email.
• Commitment to improving healthcare quality, safety, and outcomes for Medicare beneficiaries.
• Detail-oriented with strong initiative, sound judgment, and the ability to manage multiple priorities independently.

Nice To Haves

• LPN or RN preferred.
• Working knowledge of Microsoft Office, SharePoint, or similar productivity and customer relationship management (CRM) systems is preferred.

Responsibilities

• Serve as the primary contact for assigned providers to promote participation and secure Provider Service Agreements.
• Build and sustain collaborative relationships with providers and stakeholders to foster long-term engagement.
• Clearly communicate complex healthcare and QI concepts via meetings, teleconferences, and written correspondence.
• Refer inquiries appropriately and consult with supervisors and internal teams, when needed.
• Apply evidence-based QI methodologies to conduct comprehensive assessments, perform root cause analyses, and deliver technical assistance aligned with CMS project goals and metrics.
• Develop customized Quality Action Plans (QAPs) grounded in evidence-based interventions and recognized best practices.
• Collaborate with internal teams and external stakeholders to implement effective QI interventions.
• Deliver QI education, resources, and training to healthcare providers and stakeholders.
• Analyze clinical and operational data to identify performance gaps, interpret trends, and guide providers in implementing targeted QI strategies.
• Provide tailored technical assistance through data analysis, QI coaching, and coordination of relevant resources.
• Promptly and accurately document project activities, site visits, provider communications, and outcomes using HSAG and CMS-approved systems.
• Maintain up-to-date knowledge of QI methodologies, tools, and best practices through continuous professional development.
• Stay current on best-practice guidelines and regulatory updates from CMS, the Centers for Disease Control and Prevention (CDC), Substance Abuse and Mental Health Services Administration (SAMHSA), and other regulatory agencies.
• Manage multiple initiatives, deadlines, and deliverables with strong organization and accountability.
• Contribute to the development of tools, educational content, reports, and other deliverables in a team environment.
• Effectively shift strategies and support approaches to align with evolving program goals, regulatory updates, and emerging challenges in the healthcare environment.
• Occasionally work extended hours to meet project deadlines.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 251-500 employees