Quality Improvement Specialist Job Description
Quality Improvement Specialist Duties & Responsibilities
To write an effective quality improvement specialist job description, begin by listing detailed duties, responsibilities and expectations. We have included quality improvement specialist job description templates that you can modify and use.
Sample responsibilities for this position include:
Quality Improvement Specialist Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Quality Improvement Specialist
List any licenses or certifications required by the position: BLS, BART, CPHQ, ISO, IATF16949, ACLS, VDA, 9001, QMS, PCMH
Education for Quality Improvement Specialist
Typically a job would require a certain level of education.
Employers hiring for the quality improvement specialist job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Master's Degree in Education, Nursing, Healthcare, Public Health, Health, Health Administration, Social Services, Health Care, Business, Management
Skills for Quality Improvement Specialist
Desired skills for quality improvement specialist include:
Desired experience for quality improvement specialist includes:
Quality Improvement Specialist Examples
Quality Improvement Specialist Job Description
- Serve as expert liaison in specialized compliance or scientific area between the investigators and regulatory agencies
- Interface with other CTSAs as appropriate
- With the Clinical Research Quality team, develop guidance, procedures and processes to assist School of Medicine researchers with GCP and FDA compliance
- Oversee and maintain SOP and guidance library, including managing document version control
- Evaluate and analyze the changes proposed for ICH e6 (GCP) and the impact of proposed Common Rule change to human subjects research
- Work with RMG, IRB and other groups as SOPs are written and revised that impact other groups
- Within Stanford, coordinate working groups for SOP alignment and standardization
- May have other regulatory staff to manage, as Clinical Research Quality and Spectrum grow
- Provides development, planning, facilitation and completion of training and education for performance improvement methodologies
- Collaborates with Quality Management, Patient Safety & Risk Management, Nursing and Medical Staff to identify clinical quality and patient safety opportunities for process improvement efforts
- Strong Quantitative background in Lean Six Sigma methodology and statistical expertise
- Ability to work as an effective team player, supporting and communicating with peers
- Solid understanding of claims management principles, standards and practices
- Previous experience writing standard operating procedures preferred
- Strong knowledge of FDA regulations and Good Clinical Practice (GCP)
- Demonstrated ability to write clear instructions, standard operating procedures, training materials, and/or user documentation
Quality Improvement Specialist Job Description
- Provides project status updates, feedback, and appropriate reporting on selected projects through a project tracking system and management/project reviews
- Assists in the development of communication and education/training plans to facilitate the dissemination of process improvement and systems thinking strategies, tools, and practices across the organization
- Ability to work with data that is of sensitive and confidential nature
- Strong knowledge of statistical methods and software such as Sigma XL, Minitab
- Working knowledge of or ability to learn and work with appropriate Joint Commission standards and AHCA/CMS regulations and information
- Understanding of Patient Safety Organization (PSO) membership and operation of a Patient (preferred)
- Safety Evaluation System (PSES) and management of Patient Safety Work Product (PSWP)
- Bachelor’s degree in industrial engineering or healthcare-related field
- Lean, Six Sigma, PDCA/PDSA and/or other improvement methodology training
- Minimum five (5) years’ experience in an acute care setting, preferably tertiary setting
- 2+ years of Six Sigma/Lean Six Sigma Black Belt experience
- CRC or CRA certification preferred
- Strong knowledge of regulatory affairs, including FDA regulations, IRB review and approval process, Good Clinical Practice
- Experience in developing and implementing training/education
- Evidence of experience supporting performance improvement and/or project management
- Master’s degree in industrial engineering or healthcare-related field (preferred)
Quality Improvement Specialist Job Description
- Certified Project Manager (CPM) (preferred)
- Six Sigma Black Belt or Master Black Belt Certification (preferred)
- Lean Bronze, Silver or Gold Certification (preferred)
- Provides planning, implementation, integration and evaluation of the hospital-wide clinical and operational performance improvement program
- Provides development, planning, facilitation and completion of follow-up work for Rapid Improvement Events, Visioning Workshops, Value Stream Analyses, projects and other operational improvement events
- Provides expertise in successfully applying process improvement methodologies such as Lean, Six Sigma, PDSA/PDCA
- Provides training and ongoing coaching/mentoring for performance improvement methodologies, project management, and managing for daily improvement to support the facility's expected performance targets, and ensure alignment with corporate goals and with specific areas within the facility
- Implements communication and education/training plans to facilitate the dissemination of process improvement and systems thinking strategies, tools, and practices across the organization
- Understanding of Patient Safety Organization (PSO) membership and operation of a Patient Safety Evaluation System (PSES) and management of Patient Safety Work Product (PSWP)
- Attends hospital meetings where measurement and evaluation functions, or performance improvement/quality activities are performed
- Serves as hospital's oversight for policy development and corporate policy conversion as Policy Coordinator
- In collaboration with the Manager/Director of Quality & Patient Safety, serves as departmental advisor for the interpretation and compliance monitoring with The Joint Commission (TJC) and relevant Regulatory Agencies
- Conducts failure mode and effects analysis (FMEA) when high volume, high risk opportunities are discovered
- Ability to work with, develop, and motivate multidisciplinary teams
- Other duties that support the PIE office or its initiatives
- Manage all the improvement initiatives valued by Application Development Services Customers
Quality Improvement Specialist Job Description
- Be involved in some Improvement Initiatives and contribute to their success
- Support Application Development Services communication
- Monitor teams adherence to quality requirements and Company Standards
- Works collaboratively with other departments to conduct needs assessments and implement new systems
- Develops, prepares reports, data or other materials for management
- Leads and manages multiple complex initiatives that impact the quality or effectiveness of health care delivery and/or health care services provided to members
- Ensures that clinical and service quality improvement programs and initiatives are compliant with applicable accreditation, state and federal requirements
- Conducts an assessment of programs, initiatives and interventions to ensure goals and objectives were met and refine activities, as needed, to improve the effectiveness and improve outcomes
- Develops and submits regulatory reports at the time and in the manner required by state or federal agencies such as CMS
- Conducts vendor oversight and management
- First experience in Quality Management / Continuous Improvement Department
- Exposure to Compliance, Risk Management and Change Management would be a strong asset
- Fluency in English, any other language would be a plus
- Valid state clinical license preferred
- Minimum two years clinical or health care experience
- Minimum three years managed care experience
Quality Improvement Specialist Job Description
- Develops and implements project-related communication including, but not limited to, member/physician mailings, IVR scripts, emails, business plans, graphics, and maintains minutes and agendas
- Participates in the development and maintenance of annual quality improvement program documents and evaluations, compliance audits, policies and procedures, and improvement activities
- Develops internal reports to demonstrate progress on each initiative/project and presents to senior-level staff
- Leads and/or participates in multi-department/cross-functional committees and work groups which support key initiatives, prepares reports, data, agendas/minutes or other materials for committee presentation and management
- Develops collaborative relationships with contracted providers or provider groups to promote participation in quality improvement collaboratives to improve clinical care outcomes
- Communicates programs, interventions and results to external entities in accordance with applicable program objectives, policies and procedures
- In conjunction with Medical Director, communicates quality improvement initiatives, results, and/or performance data to participating physician groups
- Develops and/or maintains relationships with other external organizations to expand key partnerships
- Assesses current industry trends and regulations for enterprise-wide adoption to assure quality and effectiveness of health care delivery and/or healthcare services provided to members
- Conducts on site PARS assessments with individual Cal-Medi connect and Medi-Cal PCPs, High Volume Specialists, CBAS, and Ancillary sites, and Hospitals and documents findings using the DHCS assessment tools according to DHCS MMCD Policy Letter 12-006, 14-005, APL 15-023 or current requirement
- Experience in compliance, accreditation, service or quality improvement preferred
- Knowledge of research methodology and design preferred
- Facilitation skills preferred
- Ability to analyze, interpret, apply and communicate policies, procedures and regulations
- Valid RN state clinical license preferred
- Minimum three years experience in a clinical/health care environment with related degree program