Clinical Quality Specialist
OSF HealthCare • Ottawa, IL35d • Hybrid
Clinical Quality Specialist Jobs
65 jobs found — updated daily
Clinical Quality Specialist
HealthFirst • Herminie, PA41d • $61,300 - $99,620 • HybridEMS Clinical Quality Improvement Specialist
Wake County Government • Raleigh, NC46d • OnsiteClinical Quality Specialist II
Orlando Health • Lakeland, FL47d • OnsiteSenior Clinical Quality Performance Specialist
Amerihealth Caritas • Manchester, NH50d • RemoteClinical Data Quality Specialist
MRO Corporation • Lower Providence Township, PA56d • $33 - $36 • RemoteClinical Documentation Quality Improvement Specialist II
Mount Sinai Health System • Brooklyn, NY66d • OnsiteClinical Documentation Quality Improvement Specialist II
Mount Sinai Health System • New York, NY67d • $79,720 - $108,709 • OnsiteClinical Documentation Quality Improvement Specialist II
Mount Sinai Health Systems • New York, NY67d • $79,720 - $108,709 • OnsiteClinical Training & Quality Specialist
Cohere Health68d • $70,000 - $78,000 • RemoteRegistered Nurse, Clinical Quality Improvement Specialist II
Jefferson Health Plans • Philadelphia, PA69d • HybridClinical Quality Specialist
TriHealth • Blue Ash, OH74dClinical Quality Specialist RN
WVU Medicine • Home Work - Monongalia County WV (Local), WV83d • HybridAppeals and Grievances Clinical Specialist/ Quality Of Care
HealthFirst • Remote - NY, NY85d • $73,400 - $120,360 • HybridClinical Laboratory Specialist V
Grail • Durham, NC112d • OnsiteClinical Laboratory Specialist V
Grail • Durham, NC112d • OnsiteProvider Clinical Quality Specialist
Blue Cross & Blue Shield of Mississippi • Flowood, MS148d • HybridClinical Quality Specialist
Sanford Health • Canton, SD155d • $24 - $39 • OnsiteQuality Assurance Specialist - Clinical Trial Supply
Jupiter Research Services • Edison, NJ155dClinical Quality Specialist II
Orlando Health • St. Petersburg, FL157d • Onsite
Clinical Quality Specialist - Small/Medium Hospitals
OSF HealthCare•Ottawa, IL
•Hybrid
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
- Monitoring, analysis, and improvement of clinical quality performance
- Evaluating performance on regulatory, pay-for-performance, and publicly reported metrics
- Partnering with clinical and operational teams to drive improvement initiatives
- Serving as a subject matter resource on clinical quality definitions and performance methodologies
- Connecting stakeholders across quality, coding, clinical documentation integrity (CDI), and revenue cycle
- Utilizing 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 that focus on the whole person and engage with their current stage of life and career
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
Job Search Resources
Build a Resume for Clinical Quality Specialist
The resume builder that gets results.
- Get clear feedback so you look as qualified as you are
- Align your resume with the job to get further in the process, faster
- Take the guesswork out of resume writing
