Quality Improvement Specialist

1 day ago


McDonough Georgia, United States Guidehealth Full time
Job Description

REMOTE with Travel

We are seeking a highly skilled professional to provide quality improvement focused work for all delegated entities and support for ACO quality reporting for all contracted ACOs.

Key Responsibilities
  • Work in a partial remote environment and virtually engage with company and team in daily work.
  • Subject Matter Expert (SME) on entire scope of QI measures, services, customers and quality initiatives under various commercial and governmental payers.
  • Travel to provider offices as needed to support patient care and quality improvement efforts, including performing eye exams and scanning patient medical records.
  • Conduct proactive patient outreach initiatives to identify and address quality gaps, engaging with patients to educate them on preventive care measures and facilitate adherence to treatment plans.
  • Collect quality data using various methods of data sourcing, including EMR, claims, and provider outreach.
  • Manage daily work using multiple systems and applications, including EMR systems, payer portals, vendor platforms, and Microsoft 365.
  • Work with patient lists, gap lists, sourced health data, and medical records in daily work.
  • Leverage quality related resources to ensure accuracy and completeness of work, including measure/project instructions, NCQA/HEDIS specifications, and coding documents.
  • Prioritize daily work to meet various quality reporting deadlines and requirements.
  • Communicate quality performances, barriers, and improvement strategies both internally and with customers.
  • Follow established policies and procedures for various QI workflows to ensure overall success.
  • Collaborate with customers, payers, and co-workers to accomplish daily work.
  • Participate in departmental and payer sponsored webinars, trainings, and support calls throughout the year.
  • Communicate professionally and develop positive relationships with co-workers, customers, providers, and providers' support staff.


  • Moultrie, Georgia, United States PRT Full time

    About the RolePRT is seeking a highly skilled Tree Improvement Specialist to join our team in Moultrie, GA. As a key member of our Forest Service Team, you will play a crucial role in supporting our internal and cooperative-associated breeding, testing, and selection programs.Key ResponsibilitiesStrategic breeding of elite pine selections, including bagging,...


  • Conyers, Georgia, United States Golden State Foods Full time

    Job SummaryWe are seeking a highly motivated and analytical individual to join our team as a Continuous Improvement Specialist. In this role, you will assist with projects and initiatives that improve service performance and cost position of targeted business activities.Key ResponsibilitiesFacilitate systematic problem solving and implement solutions to...


  • McDonough, Georgia, United States EssilorLuxottica Full time

    About the RoleWe are seeking a highly skilled Production Supervisor to join our team at EssilorLuxottica. As a key member of our operations team, you will be responsible for evaluating work processes to determine strategies and programs that provide greater productivity and efficiency of company functions.Key ResponsibilitiesEvaluate Current Work Processes:...


  • Georgia, United States GradBay Full time

    Job SummaryWe are seeking a highly skilled Quality Assurance Specialist to join our team at GradBay. As a Quality Assurance Specialist, you will play a critical role in ensuring the quality and compliance of our manufacturing processes.Key ResponsibilitiesQuality Oversight: Provide quality oversight and support to the manufacturing process, ensuring that all...


  • McDonough, United States Aegis Worldwide Full time

    Job Title: Process Improvement ManagerLocation: McDonough, GAIndustry: Manufacturing/WarehousingPosition Overview:We are seeking a highly skilled and experienced Process Improvement Manager to join our team in the manufacturing industry, focusing on the distribution center side of our operations. The Process Improvement Manager will be responsible for...


  • McDonough, United States Aegis Worldwide Full time

    Job Title: Process Improvement ManagerLocation: McDonough, GAIndustry: Manufacturing/WarehousingPosition Overview:We are seeking a highly skilled and experienced Process Improvement Manager to join our team in the manufacturing industry, focusing on the distribution center side of our operations. The Process Improvement Manager will be responsible for...


  • McDonough, United States Aegis Worldwide Full time $110,000 - $125,000

    Job DescriptionJob DescriptionPosition Summary:The Continuous Improvement Manager is responsible for leading and facilitating the continuous improvement initiatives across the organization. This role requires a strong background in Lean Six Sigma methodologies, along with experience in using basic quality tools to drive operational excellence. The Continuous...


  • Conyers, Georgia, United States Golden State Foods Full time

    Job SummaryAs a Continuous Improvement Specialist at Golden State Foods, you will play a key role in driving process improvements and enhancing service performance across our business activities. This exciting opportunity will challenge you to apply your analytical skills, six sigma tools, and lean processes to drive meaningful change and contribute to the...


  • Atlanta, Georgia, United States Northside Hospital Inc. Full time

    Position Summary:Northside Hospital Inc. is a leading healthcare provider, recognized for its commitment to excellence and innovation in patient care. As we continue to enhance the quality and accessibility of our services, we invite skilled professionals to explore the diverse career opportunities available within our organization.Key...


  • Atlanta, Georgia, United States CorDx Full time

    Company Overview:CorDx is a global biotechnology firm dedicated to advancing innovation and supply in the realm of global health. With a workforce exceeding 2,100 individuals worldwide, we cater to millions across over 100 nations, providing rapid testing and point-of-care medical device solutions for the detection of infectious diseases, including COVID-19,...


  • Georgia, United States MARTA (Metropolitan Atlanta Rapid Transit Authority) Full time

    Job SummaryMARTA (Metropolitan Atlanta Rapid Transit Authority) is seeking a highly skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist - Customer Experience, you will be responsible for ensuring the delivery of high-quality customer-facing information and supporting software applications.Key ResponsibilitiesDevelop and...


  • Kennesaw, Georgia, United States Enercon Services, Inc. Full time

    About the RoleWe are seeking a highly skilled Quality Assurance Specialist to join our team at Enercon Services, Inc. in Kennesaw, GA. As a Quality Assurance Specialist, you will play a critical role in ensuring the quality and safety of our nuclear projects.Key ResponsibilitiesPlan and perform internal and external audits and surveillances to ensure...


  • Port Wentworth, Georgia, United States Hyundai Mobis Full time

    Job DescriptionJob Title: Quality Assurance SpecialistJob Summary:We are seeking a highly skilled Quality Assurance Specialist to join our team at Hyundai Mobis. The successful candidate will be responsible for ensuring the quality of our automotive products and processes meet the required standards.Key Responsibilities:Develop and implement quality control...


  • Port Wentworth, Georgia, United States Hyundai Mobis Full time

    Job SummaryWe are seeking a highly skilled Quality Assurance Specialist to join our team at Hyundai Mobis. The successful candidate will be responsible for developing and implementing quality assurance processes, conducting field claim analysis, and performing regular quality audits.Key ResponsibilitiesMaintain the company's Quality Management System (QMS)...


  • Port Wentworth, Georgia, United States Hyundai Mobis Full time

    About the Role:The Quality Assurance Specialist will be responsible for developing and implementing quality assurance processes, performing field claim analysis, and conducting regular quality audits. The ideal candidate should have experience in the automotive industry and a strong understanding of quality assurance procedures and standards.Key...


  • McDonough, United States Aegis Worldwide Full time $115,000 - $135,000

    Job DescriptionJob DescriptionJob Title: Quality Assurance ManagerLocation: McDonough, GAIndustry: Manufacturing/WarehousingPosition Overview:We are seeking a highly skilled and experienced Quality Process Manager to join our team in the manufacturing industry, focusing on the distribution center side of our operations. The Quality Process Manager will be...


  • McDonough, Georgia, United States Horizon Group USA, Inc. Full time

    Job OverviewAs a Warehouse Management System (WMS) Specialist, you will be instrumental in enhancing the productivity and operational efficiency of our warehouse functions. Your key role will be to act as the expert and primary resource for all facets of the WMS within our organization. You will work in close collaboration with warehouse personnel, IT teams,...


  • Fitzgerald, Georgia, United States Lippert Full time

    About the RoleWe are seeking a highly detail-oriented and organized Quality Assurance Specialist to join our team at Lippert. As a Quality Assurance Specialist, you will play a critical role in ensuring the quality of our products and maintaining our high standards of excellence.Key ResponsibilitiesPerform final inspections of all products to ensure they...


  • Duluth, Georgia, United States National Vision Full time

    Job SummaryNational Vision is seeking a highly skilled Managed Care Quality Assurance Specialist to join our team. The successful candidate will be responsible for ensuring the accuracy and integrity of customer registration, data collection, billing, and cash posting processes.Key ResponsibilitiesUnder the direction of the Managed Care Operations Director,...

  • Bakery Specialist

    6 days ago


    McDonough, Georgia, United States Wal-Mart Stores , Inc. Full time

    About the RoleWe are seeking a highly skilled and detail-oriented Bakery Specialist to join our team at Wal-Mart Stores, Inc. As a key member of our bakery team, you will be responsible for creating visually appealing and delicious baked goods that meet our high standards.Key ResponsibilitiesBe a Team Player: Collaborate with cross-functional teams to ensure...