Quality Management Specialist (Healthcare) - Fully Remote

Description

Who We Are - Motivated by Purpose. Powered by Clinical Expertise.

Founded in 1983, we’re a clinically-driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations.
Excellence starts with our people.
WE OFFER

- A competitive compensation package.

- Benefits include healthcare, vision and dental insurance, a generous 401k match, paid vacation, personal time, and holidays.

- Growth and training opportunities.

- An award-winning remote work environment\

POSITION OVERVIEW

As a Quality Management Specialist, you will partner with key members of leadership for the design and implementation of Quality Management procedures, ongoing improvement efforts, and other team projects with the aim of achieving organizational, accreditation, and regulatory requirements. Based on measurement and analysis of trends, lead and support structured quality improvement initiatives (e.g., Lean, Six Sigma, DMAIC or equivalent) to reduce variation and improve performance outcomes, including reduction of errors, adverse events, or near misses and achievement of acceptable performance levels.
Roles:

- Review and analyze current processes related to the application and implementation of policies, procedures, and practices; provide leadership with recommendations for updates to comply with the current regulatory and accreditation requirements. Identify gaps in efficient process workflow and suggests steps for quality process improvement.

- Measure process performance using valid and accurate methods; analyze trends, variation, and process stability to determine if defined performance metrics are met and identify areas of risk.

- Based on measurement and analysis of trends, lead and support structured quality improvement initiatives (e.g. DMAIC or equivalent) to address root causes, reduce variation, and improve performance outcomes, including reduction of errors/adverse events/near misses, or meet acceptable levels of performance.

- Manage and lead Quality Improvement Projects (QIPs) ensuring defined problem statements, root cause analysis, measurable objectives, implementation, and validation of sustained improvement outcomes.

- Manageand ensure execution of CAPAs, including documented root cause analysis, defined success metrics, implementation tracking, and post-implementation validation demonstrating sustained improvement in coordination with the Clinical Quality, Compliance, and Operations leaders.

- Serve as liaison between clients and MRIoA’s quality management department as needed.

Major Responsibilities or Assigned Duties:

- Assist leadership in establishing and reporting quality metrics and lead or support structured quality improvement initiatives using structured quality improvement methodologies (e.g., Lean, Six Sigma, DMAIC or equivalent).

- Assist with the preparation, revision, and implementation of quality management policies and procedures.

- Perform back-end internal audits to identify and resolve quality, workflow, and production issues and use findings to inform risk prioritization, and improvement initiatives. Ensure organizational, accreditation, and regulatory requirements are achieved.

- Address and discuss issues and proposed solutions with leadership and document activities.

- Work closely with all departments on complying with Quality Management requirements.

- Take part in internal testing of software updates; collaborate with Information Technology to identify and correct issues.

- Conduct root cause analyses using structured methodologies to identify underlying drivers and ensure corrective actions address systemic causes.

- Apply quantitative and analytical methods to evaluate process performance, identify trends, variation, and systemic drivers, and assess effectiveness of improvement initiatives.

- Establish control mechanisms to ensure sustained improvement and process s