Quality Improvement Specialist — Hybrid

Cambia Health Solutions, Inc.; Burlington (WA); Ibrido; USD 66.000 - 108.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, dental and vision coverage

401(k) with company match

Paid time off

Parental leave

Work from home options

Descrizione del lavoro

Cambia Health Solutions, Inc. is seeking a Quality Improvement Coordinator to turn QA and external audit findings into measurable improvement initiatives across Claims, Membership, and Customer Service. You will partner with staff and leaders to strengthen processes and improve quality results.

The role requires a Bachelor's in a related field, 5+ years in audit-related roles, and 3+ years in Quality Assurance/Quality Improvement, with strong data skills including SQL and Microsoft Access.

Competenze

• Bachelor's degree or equivalent in related field.
• Five+ years in Claims, Membership, or Customer Service related to audit responsibilities.
• Three+ years in Quality Assurance, Quality Improvement, or Quality Management.
• Experience in Claims, Membership, Customer Service or Multi-Service is preferred.

Mansioni

• Analyze QA and external audit results to identify defects, trends, root causes, and measurable improvement opportunities.
• Develop, implement, and maintain quality improvement initiatives, plans, reports, and long-term goals with staff and management.
• Manage and facilitate quality improvement projects to strengthen Member Services processes and satisfaction.
• Monitor quality measures, prioritize projects, and report progress to QA and Member Services management.
• Assess scope and financial impact of processing errors and recommend corrective actions.
• Coordinate enhancements and upgrades to support quality, including testing, reporting, and training.

Conoscenze

Quality Assurance

Quality Improvement

Root cause analysis

Stakeholder management

Data analysis

Communication skills

Presentation skills

Formazione

Bachelor's degree in business, health care, communications, or related field

Strumenti

SQL

Microsoft Access

Excel

Word

Outlook

Descrizione del lavoro

Cambia Health Solutions, Inc. is seeking a Quality Improvement Coordinator to turn QA and external audit findings into measurable improvement initiatives across Claims, Membership, and Customer Service. You will partner with staff and leaders to strengthen processes and improve quality results.

The role requires a Bachelor's in a related field, 5+ years in audit-related roles, and 3+ years in Quality Assurance/Quality Improvement, with strong data skills including SQL and Microsoft Access.