Quality Management Specialist - LHB

Luminare Health

4d•$57,800 - $108,500•Remote

About The Position

At Luminare Health, our people are what set us apart. Their expertise, dedication, and passion for service excellence are the foundation of our success. We're committed to helping our employees grow through thoughtful development opportunities, meaningful work, and a culture that values collaboration and continuous improvement. When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable. The Quality Management Specialist is responsible for the coordination and implementation of Quality Improvement Activities and Initiatives for the Healthcare Management Division (HCM). This role ensures compliance with all applicable state, federal, and accreditation requirements by managing licensure, regulatory standards, audits, and policy development. It leads and supports quality improvement activities by coordinating committees, monitoring performance metrics, conducting audits and root cause analyses, and overseeing accreditation and customer satisfaction processes. The position serves as a regulatory and quality compliance resource across the organization, collaborating cross‑functionally to educate staff and promote consistent, compliant, and high‑quality healthcare management operations.

Requirements

Active Unrestricted Registered Nurse License issued by a State or Territory of the United States of America
Minimum of 3 years clinical experience (e.g.: medical / surgical, community health nursing, home health nursing, etc.)
Read and interpret documents, criteria, instructions, and policy & procedure manuals
Communicate in a positive and effective manner in both oral and written communication
Write/create routine correspondence and reports
Speak effectively with clients, physicians, providers, families in crisis and community agencies as well as co-workers and senior management
Capable of working in an environment that requires organization and prioritization in order to address time sensitive assignments
Work independently with minimal supervision or instruction
Work in a dynamic team-oriented environment
Maintain high level of confidentiality, flexibility and willingness to learn new tasks
Apply common sense understanding to carry out instruction furnished in written, oral or diagram form
Deal with problems involving several concrete variables in standardized situations
Evaluate problems, develop alternative solutions and identify trends and patterns
Excellent interpersonal skills
Perform multiple tasks simultaneously
Add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals
Compute rate, ratio and percent

Nice To Haves

Prior Quality Management experience in a managed care setting
URAC/NCQA Accreditation experience
Bachelor of Science with a major in Nursing

Responsibilities

Coordination and implementation of Quality Improvement Activities and Initiatives for the Healthcare Management Division (HCM).
Ensuring compliance with all applicable state, federal, and accreditation requirements by managing licensure, regulatory standards, audits, and policy development.
Leading and supporting quality improvement activities by coordinating committees, monitoring performance metrics, conducting audits and root cause analyses, and overseeing accreditation and customer satisfaction processes.
Serving as a regulatory and quality compliance resource across the organization.
Collaborating cross‑functionally to educate staff and promote consistent, compliant, and high‑quality healthcare management operations.