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Supervisor, Quality Improvement
Avalon Healthcare SolutionsSupervisor leading a team in quality improvement auditing and monitoring at Avalon Healthcare Solutions. Focused on healthcare quality operations and clinical outcomes with regular collaboration.
About the role
Key responsibilities & impact- Supervise, coach, develop, and evaluate a team of Quality Improvement Specialists
- Establish team goals, performance expectations, and productivity standards
- Monitor workload distribution and ensure timely completion of quality audits, reporting, and improvement initiatives including ad hoc requests and shifting of priorities as new tasks arise.
- Provide ongoing training, mentoring, and professional development opportunities
- Support hiring, onboarding, performance management, and succession planning activities
- Foster a culture of accountability, continuous improvement, collaboration, and customer service
- Perform and oversee quality auditing activities, including review and analysis of claims data, identification of trends, development of recommendations, and monitoring of corrective actions
- Review audit findings and reports for accuracy, consistency, and completeness
- Monitor quality performance metrics and identify opportunities for process improvement
- Conduct root cause analyses and facilitate corrective action planning with operational stakeholders
- Support development, implementation, and evaluation of quality improvement initiatives
- Ensure quality activities are aligned with organizational priorities, client expectations, and regulatory requirements
- Complete and oversee monthly, quarterly, and annual quality reporting activities
- Assist in the development, maintenance, and evaluation of the annual Quality Improvement Work Plan
- Monitor QI Work Plan metrics and performance trends, escalating concerns and recommending solutions as appropriate
- Support delegation oversight activities, internal audits, and operational policy reviews
- Collaborate with cross-functional teams to ensure accurate implementation of medical and claims payment policies
- Analyze claims, operational, and quality performance data to identify trends, risks, and opportunities
- Develop and present quality performance reports, audit findings, and recommendations to leadership
- Ensure accuracy and integrity of quality data, reporting methodologies, and audit documentation
- Partner with operational leaders to measure effectiveness of improvement initiatives and validate outcomes
Requirements
What you’ll need- 5+ years of healthcare quality improvement, auditing, claims analysis, or related healthcare operations experience
- 2–3 years of supervisory, team lead, or people leadership experience
- Bachelor's degree in Healthcare Administration, Business, Nursing, Health Information Management, or a related field or equivalent combination of education and relevant experience
- Strong knowledge of healthcare claims processing, medical billing, reimbursement methodologies, and medical coding
- Working knowledge of ICD-10, CPT, and HCPCS coding principles
- Experience conducting quality audits and translating findings into process improvements
- Strong analytical and problem-solving skills with high attention to detail
- Advanced Microsoft Excel skills and proficiency with Microsoft Office applications
- Strong written, verbal, and presentation skills
- Ability to prioritize multiple projects and deadlines in a fast-paced environment
- Demonstrated leadership, coaching, and employee development capabilities
- Ability to build effective working relationships across departments.
Benefits
Comp & perks- Avalon Healthcare Solutions is an Equal Opportunity Employer - Vet/Disability.
- This position description is subject to change at any time.
- Flexible solutions span routine and genetic testing management, automated adherence, and end-to-end diagnostics support.
- Professional development opportunities.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
healthcare quality improvementauditingclaims analysishealthcare operationsICD-10CPTHCPCS codingquality auditsdata analysisMicrosoft Excel
Soft Skills
leadershipcoachingemployee developmentanalytical skillsproblem-solvingattention to detailcommunication skillspresentation skillscollaborationprioritization