159 quality care specialist jobs at 97 companies in United States
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Home Care Quality Specialist
Middleton, Wisconsin, United States
OnsiteFull Time
2+ YOEState RN or PT licensure, BLS/CPR, OASIS COS-C, 2+ years clinical experience, home care regulatory and CMS knowledge, Epic and Microsoft Office experience; quality certification preferred.
Epic, OASIS, HOPE, Microsoft Office
2mo
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Quality Assurance Specialist – Community Care Programs
San Jose, California, United States
$73k-$89k/yr HybridFull Time
2+ YOEBachelor’s degree plus two years in project management, quality assurance, social work, or related field.
Microsoft Excel, Microsoft Word
2mo
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Quality Improvement Specialist
Pomona, California, United States
$22-$26/hr HybridFull Time
5+ YOEMust have excellent interpersonal skills, critical thinking, and ability to work in a fast-paced health care setting; strong process improvement and data skills; experience with HRSA/UDS/quality programs.
1mo
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Quality & PI Specialist
Glendale, California, United States
$85k-$105k/yr OnsiteFull Time
3+ YOEBachelor's degree (or equivalent experience), 3+ years in healthcare quality/improvement or managed care, experience with quality initiatives, analytics, reporting, and Microsoft Excel/PowerPoint; strong communication and problem-solving skills.
Microsoft Excel, Microsoft PowerPoint
2w
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Quality Care Improvement Specialist
Orange, California, United States
$24-$34/hr HybridFull Time
3+ YOEBachelor's or equivalent,3–5 years healthcare experience with ≥1 year HEDIS work,knowledge of HEDIS/CMS/NCQA/HIPAA,analytical and presentation skills,and ability to travel up to 25%.
HEDIS, CMS, NCQA, HIPAA
1w
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Quality Assurance Specialist (Home Care Compliance)
Las Cruces, New Mexico, United States
$17-$17/hr FieldFull Time
4+ YOEHigh school diploma or equivalent, four years of administrative experience, Microsoft Office proficiency, strong oral and written communication, confidentiality, organization, and multitasking skills.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
1w
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Quality Assurance Specialist (Home Care Compliance)
Las Cruces, New Mexico, United States
$17-$17/hr FieldFull Time
4+ YOEHigh school diploma or equivalent and four years of administrative experience. Requires Microsoft Office proficiency, strong communication, confidentiality, organization, multitasking, and compliance knowledge.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
2w
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Quality Specialist
Spartanburg, South Carolina, United States
OnsiteFull Time
7+ YOEBS/BSN/BA or associate with extensive acute care experience, 7+ years acute care and 4+ years quality services preferred; proficiency with Microsoft Office and electronic health records; Lean Six Sigma Yellow Belt required; CPHQ preferred.
Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint, electronic healthcare record systems
2mo
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Quality Assurance Specialist
Imperial County, California, United States
$27-$33/hr HybridFull Time
2+ YOEBachelor's in related field, 2+ years QA or care coordination experience, familiarity with CalAIM/Medi-Cal/HIPAA, CRM/EMR and Excel proficiency, strong analytical and communication skills, driver's license and reliable transportation for 40% outreach.
CRM, EMR, Microsoft Excel
1mo
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Quality Assurance Specialist
North Carolina or Arkansas or Virginia
$55k/yr RemoteFull Time
2+ YOEBA/BS plus ≥2 years experience in direct care, QA, or HR in community behavioral health; strong communication, org and project management skills; intermediate-advanced Microsoft Word/Excel; valid driver's license, reliable vehicle, background check.
Microsoft Word, Microsoft Excel, EHR, NC HIE, NC Topps
2mo
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Clinical Quality Specialist II
Cincinnati, Ohio, United States
$82k-$104k/yr OnsiteFull Time
2+ YOEBachelor's in a clinical field and 2+ years related experience required; Master's preferred. Experience with process improvement (CQI, Six Sigma, Lean/TQM), facilitation, managed care, care/ utilization management, and ACOs preferred.
2mo
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Quality Assurance - Specialist 2, PCU
Pensacola, Florida, United States
OnsiteFull Time
Perform quality reviews of long-term care insurance transactions and claims against SOPs, monitor billing suspense, validate benefit eligibility, maintain product knowledge, comply with HIPAA, and use MS Word/Excel; strong attention to detail and communication required.
Microsoft Word, Microsoft Excel
3d
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Quality Assurance Program Specialist Senior
Green Bay or Madison or Eau Claire or Milwaukee or Wisconsin
$36-$40/hr HybridFull Time
Experience with long-term care regulations, policy communication, quality assurance methods, and issue resolution; preferred experience with training, requirements interpretation, and data analysis.
iQIES, I-9
1mo
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Senior Clinical Quality Performance Specialist
Manchester, New Hampshire, United States
RemoteFull Time
5+ YOERN required, Associate's degree or equivalent, 5+ years in clinical/service quality improvement and managed care, intermediate/expert Excel and SAS, NCQA experience preferred.
Microsoft Excel, SAS
2mo
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Clinical Quality Specialist II - Quality Assurance - Bayfront Hospital
St. Petersburg, Florida, United States
OnsiteFull Time
5+ YOEBachelor's degree, Florida professional licensure (RN/respiratory/pharmacy) or related degree, CPHQ/CPPS/NE-BC certification within 1 year, and 5 years acute care experience.
1w
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Quality Specialist
Hialeah, Florida, United States
OnsiteFull Time
1+ YOEHigh school diploma required; bachelor's degree preferred. Preferred medical assistant certification and one year of outpatient, HMO, MSO, or ACO care coordination experience.
2mo
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Quality Specialist
Southfield, Michigan, United States
OnsiteFull Time
2+ YOEBachelor’s degree in a related field; 2+ years health industry experience; HEDIS/Gaps in Care experience; payer knowledge; PCMH/ACO knowledge; Microsoft Office; strong teamwork.
Microsoft Office
2w
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Quality Specialist Ambulatory – Managed Care
United States
$36-$46/hr HybridFull Time
2+ YOECurrent RN license required, 2+ years clinical documentation or inpatient coding experience preferred, ICD-10-CM/PCS coding training desirable, strong communication and analytical skills, proficiency with Microsoft Office.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint
1mo
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Specialist, Quality
Phoenix or Tucson
OnsiteFull Time
2+ YOEBachelor's in healthcare administration or public health required; 2+ years value-based care or 4+ years preferred; HEDIS/Risk Adjustment experience, EMR proficiency, intermediate Microsoft Excel/Word/PowerPoint; one of several clinical certifications preferred.
Electronic Medical Records (EMR), Microsoft Excel, Microsoft Word, Microsoft PowerPoint
1mo
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Quality Performance Specialist
Lansing, Michigan, United States
OnsiteFull Time
3+ YOEAssociate degree in health care or related, 3+ years outpatient/ambulatory experience, valid driver’s license, experience with practice transformation, quality measurement, and process improvement.
e-prescribing, Population Health Registry, EMR
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