FREE ACCESS
5,000–10,000 jobs/day
See all jobs on JobTailor
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Senior Quality Improvement Specialist
Margie and Bill Klesse College of Engineering and Integrated Design at UTSAQuality Improvement Specialist improving HEDIS care-gap outcomes for UT Health San Antonio. Conducting chart reviews, patient outreach, medication adherence reviews, and quality improvement projects.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in HEDIS measures and quality improvement methodologies, with a strong focus on patient care coordination and data management. Proficient in conducting patient outreach and training staff to enhance care quality and close care gaps.
Highest-signal resume keywords
HEDIS Measure KnowledgeQuality Improvement Project LeadershipElectronic Medical Record DocumentationPatient Outreach CoordinationData Visualization for HEDIS Metrics
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient Chart ReviewMedication Adherence ReviewQuality Improvement MethodologiesData AnalysisWorkflow ImprovementCare Gap IdentificationElectronic Medical Record ManagementHEDIS DocumentationContinuous Quality ImprovementRoot Cause Analysis
Soft Skills
Effective CommunicationAnalytical ThinkingTeam CollaborationTraining and PreceptingProblem Solving
Tools & Technologies
Payor DatabasesQuality Improvement ToolsData Visualization SoftwareElectronic Medical Records Systems
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
HEDISQuality Improvement SpecialistHealthcare TeamShared Savings ProgramsPatient Care Coordination
About the role
Key responsibilities & impact- Perform patient chart reviews to identify opportunities to satisfy HEDIS measure gaps
- Maintain systems for storing and tracking HEDIS medical record documentation
- Document in the Electronic Medical Record
- Request charts and medical records from other facilities to close care gaps
- Scan or upload medical records into payor databases
- Conduct patient outreach to schedule Annual Wellness Visits and follow-up appointments
- Perform pre-visit and post-visit evaluations to identify gaps in care
- Educate clinic staff about metrics and closing HEDIS gaps
- Identify, track, and follow up on unresolved care gaps
- Perform medication adherence reviews and mitigate barriers
- Assist with processing hierarchical condition category attestation forms from payors
- Implement continuous quality improvement projects and workflow improvements using DMAIC and other quality tools
- Create and publish team workflows
- Organize and maintain internal files and folders
- Provide in-service training and precepting to Associate Level QI specialists
- Create data visualizations for HEDIS metrics and medication adherence
- Report team data at leadership meetings
- Meet with payor representatives regarding gap-closure strategies
- Lead quality improvement projects and root cause analyses related to quality metrics
- Perform other duties as assigned
Requirements
What you’ll need- Support the mission, vision, and patient promise throughout all interactions
- Communicate effectively, both written and verbally
- Demonstrate analytical thinking and use logic to coordinate work within schedule constraints and handle emergent requirements
- Participate as an integral part of the interdisciplinary healthcare team
- Working knowledge of HEDIS measures for which UT Health is responsible under shared savings programs
- High school diploma or GED
- Three years of experience as a Quality Improvement Specialist or Medical Assistant
Benefits
Comp & perks- UT SELECT Medical insurance offered free for employees
- Family medical coverage available through payroll deduction
- Discounted copays and coinsurance when using UT Health Physicians
- $50,000 group term life insurance at no cost
- $50,000 basic accidental death and dismemberment insurance at no cost
- Additional employee and dependent life and AD&D coverage available at group rates
- Three dental insurance plan options through Delta Dental
- Two vision plan options
- Disability insurance
- Flexible spending accounts for dependent day care and healthcare expenses
- Teacher Retirement System (TRS) or Optional Retirement Plan (ORP)
- Voluntary retirement programs with five retirement plan providers
- Front-loaded paid time off: 128 to 208 hours (16 to 26 days) based on years of service
- Extended Illness Bank: 8 hours accrued per month
- Paid Family Leave: up to 240 hours (6 weeks) after 6 months of consecutive employment
- 12 paid holidays each year
- Discounts on services, tickets, and gym membership