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Quality improvement specialist • dallas tx
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Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family.PCHP is a Medicaid Manage...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The facility Compliance Analyst gathers and analyzes clinical and financial data that assists with driving practice transformation, quality program compliance and improved patient care.Assists the ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
At SupplyHouse.Led by our core values of G < / strong...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Director Quality Improvement- Health Plan.Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkla...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
IMMEDIATELY HIRING! Quality Assurance Specialist FULL-TIME Opportunity in Dallas, TX.The responsibilities of this role, supporting our 14 CFR Part 145 Certified Repair Station, are detailed below.R...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Horizontal Talent is on the lookout for someone with experience in business process improvement, change management, and / or business analysis to join our client's welcoming team in Dallas.This full-...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Quality Improvement Specialist Remote.Position Purpose : Support the development and maintenance of quality improvement related projects and reporting.
Respond to quality improvement inquiries.Educat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family.PCHP is a Medicaid Manage...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
As a trusted partner for homeowners, we provide personalized solutions that transform homes and enrich lives.Join us as a Home Improvement Canvasser and make a difference while enjoying a rewarding...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
About Hallmark Health Care Solutions, Inc.At Hallmark Health Care Solutions, the two aspects what we do and how we do it are tightly interwoven.
In our products and our people alike, we put a rele...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities.Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
As a Warehouse Quality Control Specialist, you will be responsible for assisting with warehouse operations and ensuring smooth logistics, including : organize inventory and ensure items are stored p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Baylor Scott & White Health Job Post.Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities.
Baylor Scott and White is the largest not-for-profit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Synergy Bioscience is a startup company that provides medicinal product development support, laboratory testing, and quality compliance consulting services to our partners in the pharmaceutical and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Quality Assurance & Contracts Specialist.Buckner International Location : Dallas Support Center.We are seeking a Quality Assurance & Contracts Specialist to join our team that is committed to develo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Quality Improvement Specialist •.Contract - 3 month w / potential for extension or to go permanent •.The Quality Improvement Specialist will support the development and maintenance of quality improveme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Provides consultant expertise and leadership to teams for better outcomes.Supports BSWH strategy to deliver high-quality, safe care.
Achieves excellence by following regulatory statutes, policies, a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Molina's Quality Improvement Abstraction team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection.The ab...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Job Title : Quality Assurance Specialist.Location : Pittsburgh, PA (Hybrid).Duration : 6 Months (Possible Extension).We are seeking a dedicated Quality Assurance Specialist to join our dynamic team.Th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Quality Improvement Specialist- Health Plan
Parkland Health and Hospital SystemDallas, TX, USjob_description.job_card.variable_days_ago
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job_description.job_card.job_descriptionMinimum of 3-5 years of experience in healthcare quality improvement is required. Experience with Texas Medicaid, Medicaid, or managed care quality improvement strongly preferred. May have an equivalent combination of education and / or experience in lieu of specific education and / or experience. Certification in Six Sigma, Lean, or other quality improvement methodologies preferred. None Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines. Ability to communicate complex information in understandable terms. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships across and beyond the organization. Excellent analytical and problem-solving skills. Strong time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Ability to write clearly and succinctly with a high level of attention to detail. Proficient computer and Microsoft Office skills. Ability to learn new software programs. Knowledge of Texas Medicaid, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Proficiency in data analysis software and tools. Clinical experience is a plus Strong project management skills. Ability to work independently and take initiative. Develop and implement quality improvement initiatives. Use quality improvement tools and techniques such as Six Sigma, Lean, and PDSA cycles. Lead end-to-end management of PIPs, from conception through planning, execution, monitoring, and closing, ensuring all milestones are met and documented. Ensure member and staff feedback is incorporated into quality improvement efforts. Integrate health literacy principles into all communication including Members and Providers. Support strategies that meet clinical, quality and network improvement goals. Promote the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and / or providers to promote and support evidence-based practices and care coordination. Prepares reports for HHSC according to HHSC requirements and timelines Coordinate with external agencies when required by the project Tracks and monitors all interventions implemented and evaluates the impact of each intervention utilizing data driven methodologies, Makes adjustments to interventions as required per performance indicators Supports quality leaders develop quality plans and ensure integration of quality into overall business processes. Develops performance improvement plans and oversees quality improvement activities to improve the quality of care for members. Develop plans to improve HEDIS scores and other quality metrics prepare and present them to management and Providers. Analyze current healthcare practices and identify areas for improvement, and present findings and recommendations to senior management and other stakeholders. Monitor and evaluate the effectiveness of quality improvement initiatives. Collect and analyze data to measure performance and outcomes. Prepare reports and documentation for internal and external use. Conduct root cause analysis for adverse events. Ensures work is carried out in compliance with regulatory and / or accreditation standards as well as contractual requirements. Coordinate with external agencies and accrediting bodies. Assures compliance with Quality Improvement work plans and assures QI activities are relevant to targeted populations. Promotes and supports a culturally welcoming and inclusive work environment. Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Adheres to hybrid work schedule requirements. Attends required meetings and town halls. Recognizes and communicates ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. Maintains confidentiality at all times. Performs other work as requested that is reasonably related to the employee’s position, qualifications, and competencies. Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of PCHP. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars / workshops, reading professional journals, actively participating in professional organizations, and / or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and customer requirements. Seeks advice and guidance as needed to ensure proper understanding.
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job—it’s a passion to serve and improve lives every day.
Primary Purpose
Responsible for managing Performance Improvement Projects from inception to completion, ensuring our healthcare services consistently meet the highest standards of quality and efficiency. The role will analyze current practices, identify areas for improvement, and implement strategies to enhance member care, member outcomes and operational efficiency.
Minimum Specifications
Education
- Bachelor’s degree in business administration or related discipline is required.
- Bachelor's degree in the healthcare field preferred.
Experience
Equivalent Education and / or Experience
Certification / Registration / Licensure
Required Tests for Placement
Skills or Special Abilities
Responsibilities
Quality
Performance Analysis
Regulatory
Professional Accountability
Job Accountabilities
Parkland Community Health Plan (PCHP) prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.