Senior Quality Specialist

TAPESTRY 360 HEALTH•Chicago, IL

1d•$68,000 - $74,000•Onsite

About The Position

The Senior Quality Specialist is responsible for operationalizing quality improvement strategies across the organization by translating performance data into actionable initiatives that enhance clinical outcomes and optimize value-based revenue. In close partnership with the Associate Vice President of Value-Based Care & Population Health, the position ensures accurate tracking of key performance metrics, drives timely interventions, and coordinates efforts to close care gaps. The role works cross-functionally with clinical and operational teams to strengthen workflows, improve efficiency, and support the successful execution of population health and value-based care initiatives.

Requirements

Bachelor’s degree required; preferred fields include Nursing, Healthcare Administration, or a related healthcare discipline.
3–5 years of relevant experience, including demonstrated expertise in data analytics and performance reporting.
Experience working with electronic medical record (EMR) systems required.
Strong knowledge of healthcare quality metrics and performance improvement methodologies.
Proven project management and organizational skills, with the ability to manage multiple priorities effectively.
Strong communication and collaboration skills, with the ability to work across multidisciplinary teams.
Demonstrated success coordinating initiatives and driving measurable outcomes in a cross-functional healthcare environment.
Applies quality improvement methodologies and data-driven approaches to design, implement, and sustain initiatives that improve clinical outcomes and performance metrics.
Analyzes complex clinical and operational data and demonstrates strong knowledge of quality measures (e.g., HEDIS, UDS), translating insights into actionable strategies.
Leverages EMR systems to design efficient workflows that enhance data capture, reporting accuracy, and care delivery.
Plans and executes initiatives while partnering across multidisciplinary teams to drive alignment, adoption, and results.
Communicates effectively, exercises critical thinking, and takes ownership of outcomes to drive measurable improvements aligned with organizational goals.

Nice To Haves

Experience with value-based care models, including pay-for-performance programs, risk-based contracts, and shared savings initiatives.
Working knowledge of population health strategies, including care gap closure, preventive care initiatives, and panel management.
Understanding of coding, documentation, and risk adjustment principles (e.g., ICD-10, HCC) that impact quality and revenue (preferred).
Proficiency in reporting and data tools (e.g., advanced Excel, Power BI, Tableau) to support analysis and decision-making (preferred).

Responsibilities

Coordinate and implement quality improvement initiatives across departments, ensuring alignment with organizational goals and value-based care priorities.
Support clinical and operational teams in adopting workflows that improve quality performance, care gap closure, risk adjustment, and overall efficiency.
Coordinate and execute population health outreach initiatives (e.g., cancer screenings, preventive care campaigns) and related program logistics, including follow-up processes.
Analyze care gap and performance data to distinguish true clinical gaps from documentation or coding issues and drive targeted interventions.
Develop, maintain, and deliver standardized workflow guides, training materials, and best practices to support quality improvement efforts.
Support technical, operational, and programmatic needs related to quality metrics, including coding, mapping, data validation, reporting enhancements, and coordination of initiatives such as bulk screening programs (e.g., Cologuard) and follow-up processes.
Other duties as assigned