Activate Care

Quality Assurance – Improvement Specialist

Activate Care

full-time

Posted on:

Location Type: Remote

Location: Massachusetts • United States

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About the role

  • Manage and conduct routine clinical case auditing processes to maintain high-quality clinical program operations.
  • Analyze workforce compliance to ensure Community Health Workers (CHWs) maintain strict fidelity to evidence-based best practices and the specific care standards outlined in our customer partnerships.
  • Audit case data to ensure clinical operations meet all customer quality requirements, including industry standards like NCQA-HEDIS and Medicare Stars.
  • Identify data inconsistencies, documentation gaps, and workflow errors in the care process, flagging them for review and root-cause analysis.
  • Define the clinical and operational requirements for quality measurement tools, working closely with the Data Analytics team to bring those tools to life.
  • Maintain, update, and own the data inputs for operational trackers and performance dashboards utilized in large-scale regional initiatives.
  • Compile raw operational data into clear, trending monthly reports for internal leadership and external partners.
  • Translate complex quality metrics into actionable insights and visual presentations.
  • Partner closely with multidisciplinary teams, including Operations, Data Analytics, User Experience, and Product, to share audit findings and brainstorm workflow solutions.
  • Support the planning and execution of continuous improvement projects aimed at increasing the quality of care, CHW team productivity, and overall system efficiency.
  • Assist in designing and facilitating staff training for navigation teams when new quality standards or improved care model processes are rolled out.
  • Other duties as assigned.

Requirements

  • Bachelor’s Degree is required; Master’s Degree (MPH, MHA, etc.) *is preferred*
  • 2 - 5 years of professional experience in healthcare quality assurance, data analysis, public health, or a related field.
  • Strong visual design and data presentation abilities.
  • High working proficiency in Excel and building reports.
  • Excellent written communication skills and the ability to operate independently.
  • A collaborative mindset with a track record of building positive working relationships across multiple teams.
  • *Cultural humility: *You are able to communicate effectively with people from various backgrounds and work respectfully across demographic, socioeconomic, language and, all other constituents that represent diverse cultures of communities.
  • *Preferred Qualifications:* Familiarity with healthcare populations (Medicaid, MCOs) and a strong understanding of community-based care interventions and social determinants of health (SDOH).
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
data analysisquality assurancereport buildingclinical case auditingquality measurement toolsdata presentationworkflow analysisperformance dashboardsroot-cause analysisExcel
Soft Skills
written communicationcollaborationcultural humilityindependencerelationship buildingvisual designproblem-solvingtraining facilitationcontinuous improvementteam productivity
Certifications
Bachelor's DegreeMaster's Degree (MPH, MHA)