Clinical Quality Specialist - Small/Medium Hospitals

OSF HealthCare; Urbana (IL); On-site; USD 50,000 - 58,000; Full time

Job summary

OSF HealthCare is seeking a Clinical Quality Specialist to monitor, analyze, and improve clinical quality performance across its operating units. You will coordinate with clinical, coding, CDI and revenue teams to ensure accurate measurement and drive quality improvements.

Key responsibilities include evaluating regulatory and pay-for-performance metrics, leveraging analytics, and sharing insights to support organizational goals.

Qualifications

• Education: Associate degree
• Experience: 2 years in a quality/clinical healthcare role
• Licensure/Certification: CPHQ within 3 years of hire and maintain certification
• Skills: Interpersonal and communication skills; proficiency with Microsoft software; analytical and detail-oriented

Responsibilities

• Monitor, analyze, and improve clinical quality performance across the unit
• Evaluate performance on regulatory, pay-for-performance, and public metrics
• Partner with clinical/operational teams to drive improvement initiatives
• Utilize data analytics and predictive insights to guide strategy and outcomes

Skills

Interpersonal skills

Communication skills

Computer skills

Analytical thinking

Problem-solving

Attention to detail

Education

Associate degree

CPHQ certification

RN license

Associate degree in nursing

Tools

MS Office

Data analytics tools

Performance dashboards

Job description

Total Rewards

\"Your life - our Mission\"

OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. Click here to learn more about benefits and the total rewards at OSF.

Expected pay for this position is $36.04 - $42.40/hour. Actual pay will be determined by experience, skills and internal equity. This is a Salaried position.

Overview

For posting purposes, a primary work location is listed; however, this role may be assigned to any OSF HealthCare location within the area of support. Travel across supported OSF locations will be expected

POSITION SUMMARY: The Clinical Quality Specialist supports the monitoring, analysis, and improvement of clinical quality performance across the operating unit. This role is responsible for evaluating performance on regulatory, pay-for-performance, and publicly reported metrics, and partnering with clinical and operational teams to drive improvement initiatives. The Clinical Quality Specialist serves as a subject matter resource on clinical quality definitions and performance methodologies, connecting stakeholders across quality, coding, clinical documentation integrity (CDI), and revenue cycle to ensure accurate measurement and optimal outcomes. This role utilizes data, analytics, and predictive insights to inform strategy and support achievement of organizational quality goals.

Qualifications

REQUIRED QUALIFICATIONS:

Education: Associate degree

Experience: 2 years of healthcare experience in a quality or clinical role

Licensure/ Certification: Certified Professional in Healthcare Quality (CPHQ) within 3 years of hire into role and must maintain certification.

Other Skills/ Knowledge: Excellent interpersonal and communication skills. Solid computer skills, including proficiency with Microsoft software. Strong analytical and problem-solving skills, with the ability to be detail oriented.

PREFERRED QUALIFICATIONS:

Education: Associate degree in nursing

Experience: Experience with CMS programs, eCQMs, or registry reporting.

Experience with data analytics tools and performance dashboards.

Licensure/ Certification: Active RN license or current state license in field of study

OSF HealthCare is an Equal Opportunity Employer.