Quality Specialist

• Assist with daily operations and support within the Quality Improvement department
• Manage the HEDIS project, including nurse assignments, plan timeline adherence, and vendor oversight for timeliness and quality
• Assist with data collection, data entry, and report generation for QI initiatives
• Support access and availability studies, HEDIS abstraction forms, medical records/site reviews, and member and physician satisfaction studies
• Analyze data and write reports for committee discussion
• Research and write provider newsletters and educational materials
• Conduct interdepartmental inter-rater reliability audits
• Design, run, and manage data review processes to ensure report accuracy and integrity
• Implement process improvements to streamline departmental functions
• Assist the Director, QI with regulatory agency and review organization audits
• Perform other assigned duties
• Comply with all policies and standards

Quality Specialist jobs in Arizona

Quality Improvement Specialist II