Quality Improvement Specialist — Elevate Care Metrics

Group Health Cooperative of Eau Claire; Altoona (WI); On-site; USD 52,000 - 72,000; Full time

Job summary

Group Health Cooperative of Eau Claire in Altoona, Wisconsin is seeking a Quality Improvement Specialist to support and implement quality initiatives under the QI Manager. You will help improve quality metrics through coordination and collaboration both externally and internally.

The role focuses on tracking quality/adverse events, participating in PIP projects, and educating members and providers on QI efforts to advance NCQA goals and pay-for-performance measures.

Qualifications

• Associate degree or certification required; nursing/clinical experience preferred.
• Strong written and verbal communication skills.
• Ability to build trust with business partners across boundaries.
• Proficient in Microsoft Office Suite.
• Ability to work independently.

Responsibilities

• Participate in QI initiatives and monitor quality metrics.
• Investigate and analyze reported quality/adverse events.
• Coordinate with QI Manager and external entities on NCQA projects.
• Write quarterly PIP reports and proposals.
• Educate members on QI initiatives and pay-for-performance measures.
• Educate providers on QI initiatives and P4P measures.

Skills

Interpersonal skills

Written and verbal communication

Trust-building across teams

Microsoft Office

Independent worker

Education

Associate degree or related certification

Tools

Microsoft Office Suite

Job description

Group Health Cooperative of Eau Claire in Altoona, Wisconsin is seeking a Quality Improvement Specialist to support and implement quality initiatives under the QI Manager. You will help improve quality metrics through coordination and collaboration both externally and internally.

The role focuses on tracking quality/adverse events, participating in PIP projects, and educating members and providers on QI efforts to advance NCQA goals and pay-for-performance measures.