Quality Improvement Specialist

Site : Mass General Brigham Health Plan Holding Company Inc.

Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

The Quality Project Management Specialist is responsible for coordinating and managing projects aimed at improving the quality of care ensuring compliance with regulatory standards and enhancing member satisfaction within the health plan. This role involves the development implementation and evaluation of quality improvement initiatives working closely with cross-functional teams to achieve organizational goals. The Specialist will oversee and lead projects from initiation to completion ensuring that they are completed on time within scope and on budget. The role requires a strong understanding of project management methodologies processes and tools; driving project teams coordinating resources and is the primary point of contact for stakeholders.

Essential Functions

Project Management

Lead and manage multiple quality improvement projects across the health plan ensuring they are completed on time within scope and meet the organizations objectives.

Develop project plans timelines budgets and resource allocations adjusting as necessary to ensure project success.

Monitor project progress and identify risks issues or delays implementing corrective actions as needed.

Communicate regularly with internal and external stakeholders to ensure expectations are managed issues are addressed and the project is on track

Work with cross-functional teams ensuring that roles and responsibilities are clearly defined and progress is tracked.

Proactively identify and mitigate project risks and issues adjusting plans as necessary to ensure project success.

Monitor and control project budgets ensuring resources are used efficiently and effectively.

Ensure that deliverables meet the required quality standards and stakeholder expectations.

Provide regular status updates and detailed reports to leadership and stakeholders documenting all project activities milestones and changes.

Quality Improvement

Drafting reviewing and revising internal policies and procedures to ensure alignment with industry standards legal requirements and best practices.

Support quality improvement (QI) projects using methodologies such as PDSA Lean or Six Sigma.

Support the development and implementation of health plan quality improvement initiatives focused on improving clinical outcomes operational efficiency and customer satisfaction.

Monitor and analyze health plan performance data to identify areas for improvement developing actionable insights and solutions.

Collaborate with clinical teams operations and IT to ensure quality metrics are met and quality programs are integrated across the health plan.

Ensure that quality projects align with state and federal regulations such as CMS (Centers for Medicare & Medicaid Services) standards NCQA (National Committee for Quality Assurance) requirements and other applicable regulatory frameworks.

Monitor and support audits and reporting requirements related to quality measures and performance metrics.

Collect analyze and interpret data related to health plan quality including clinical operational and member satisfaction data.

Prepare and present reports on project progress outcomes and key performance indicators (KPIs) to senior leadership and stakeholders.

Other duties as assigned

Qualifications

Education

• Bachelors Degree Related Field of Study required (experience can be substituted in lieu of degree); Masters degree preferred

License

Experience

Knowledge Skills and Abilities

Additional Job Details (if applicable)

Working Conditions

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$62400.00 - $90750.40 / Annual

Grade

At Mass General Brigham we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive and any offer extended will take into account your skills relevant experience if applicable education certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however it does not encompass all elements contributing to your total compensation addition to competitive base pay we offer comprehensive benefits career advancement opportunities differentials premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement :

Mass General Brigham Health Plan Holding Company Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and / or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

Mass General Brigham Competency Framework

At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.

Required Experience :

IC

Key Skills

Quality Assurance,FDA Regulations,Data Collection,Food Safety Experience,ISO 9001,Mobile Devices,Root cause Analysis,Quality Systems,OSHA,Food Processing,Quality Management,cGMP

Employment Type : Full-Time

Experience : years

Vacancy : 1

Monthly Salary Salary : 62400 - 90750