Quality Improvement Specialist

3 weeks ago


Wheeling, West Virginia, United States The Health Plan of West Virginia Inc Full time

Job Summary:

We are seeking a highly skilled Quality Improvement Specialist to join our team at The Health Plan of West Virginia Inc.

About the Role:

This is an exciting opportunity to work in a dynamic environment where you will be responsible for assisting with the development and implementation of Quality Improvement & Quality Management initiatives.

Main Responsibilities:

  • Assist in coordinating strategies for NCQA Accreditation, CMS, BMS, and EQRO Compliance;
  • Work collaboratively with internal departments to identify opportunities for improvement and develop action plans;
  • Perform mock audits related to NCQA and EQRO requirements and provide findings to assist with corrective action planning;
  • Develop and present training materials on Quality Improvement & Quality Management initiatives to employees, providers, and members.

Requirements:

  1. A minimum 2-year degree in applied science, business, or other related field, or a minimum of 2 years experience in quality improvement/project management;
  2. Excellent verbal and written communication skills;
  3. Project management experience with the ability to plan, execute, and complete long-term projects;
  4. Advanced knowledge of Microsoft Office applications;
  5. Strong public speaking and written communications skills;
  6. People and team management skills;
  7. Excellent interpersonal skills and the ability to build rapport with others;
  8. Ability to work independently but also in a collaborative team setting.

Salary Estimate: $55,000 - $70,000 per year.



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