Quality Specialist II

Magellan Health

. Serve as a member of the quality team at the national, regional, or unit level .

Posted 10/28/2026full-timeRemote • United StatesJuniorMid-Level💰 $53,125 - $84,995 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in quality improvement processes, data management, and auditing within the healthcare sector, with a strong focus on HEDIS and accreditation standards. Capable of leading quality initiatives, conducting audits, and preparing detailed reports while ensuring compliance with regulatory requirements.

Highest-signal resume keywords

HEDIS ExperienceQuality ImprovementData AnalysisProject ManagementMicrosoft Excel

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality Control ReviewsData ManagementData AnalysisReportingAuditingAccreditation StandardsQuality Improvement ProcessesDocumentationPerformance MeasurementCustomer Audit Preparation

Soft Skills

Attention To DetailOrganizationVerbal CommunicationWritten CommunicationEfficiency

Tools & Technologies

Microsoft ExcelVISIOMS Project

Industry Keywords

Healthcare Quality ImprovementNCQAURACContinuous Quality ImprovementAccreditation Support

About the role

Key responsibilities & impact

Serve as a member of the quality team at the national, regional, or unit level
Coordinate projects supporting continuous quality improvement and process improvement
Support maintenance of quality programs, measured processes, and reported outcomes
Coordinate quality and process improvement activities, including accreditation support, quality studies, CQI training, prevention programs, care coordination initiatives, satisfaction survey follow-up, advisory groups, adverse incident tracking, performance guarantees, CAPs, and customer quality initiatives
Conduct quality control reviews and external/internal audits
Summarize findings and prepare reports
Assist with customer audit preparation
Analyze data findings for quality and process improvement and assist with internal and external report preparation
Lead and/or support quality committees and work groups through project management
Ensure accurate and timely documentation, agenda presentation, and follow-up actions
Monitor and execute deliverables to meet customer requirements and performance guarantees
Work independently while maintaining a high degree of organization

Requirements

What you’ll need

2+ years of HEDIS-related experience (where applicable)
2+ years of quality improvement and auditing or related experience in the healthcare field
Attention to detail and ability to work efficiently to meet deadlines and timelines
High degree of organization
Expertise in data management, data analysis, reporting, word processing, and project management
Strong working knowledge of Microsoft Excel, VISIO, and/or MS Project
Knowledge of HEDIS and accreditation requirements, including NCQA and/or URAC (where applicable)
Knowledge of healthcare quality improvement processes, accreditation standards, and HEDIS/performance measurement
Excellent verbal and written skills
Ability to enter data accurately into spreadsheets and prepare professional documents and reports
GED or high school education required
Must comply with applicable legal, regulatory, contractual, and internal policy requirements

Benefits

Comp & perks

Short-term incentives may be available
Comprehensive benefits package
Health, life, voluntary, and other benefits
Benefits and perks supporting physical, mental, emotional, and financial wellbeing
Tobacco-free workplace