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Quality Management Specialist (Remote)

Medical Review Institute of America

8h ago

0OtherRemote, USjobspy_indeed
remoteindeed

Job 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. A team atmosphere with fun events and prizes scheduled throughout the year. 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 pr