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Medical Review Institute of America, LLC

Quality Management Specialist

Medical Review Institute of America, LLC

Quality Management Specialist partnering with leadership for the design and implementation of Quality Management procedures. Leading structured quality improvement initiatives and supporting process enhancements for regulatory compliance.

Posted 6/24/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact
  • partner with key members of leadership for the design and implementation of Quality Management procedures, ongoing improvement efforts, and other team projects
  • lead and support structured quality improvement initiatives (e.g., Lean, Six Sigma, DMAIC or equivalent)
  • 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
  • manage and lead Quality Improvement Projects (QIPs)
  • serve as liaison between clients and MRIoA’s quality management department
  • assist leadership in establishing and reporting quality metrics

Requirements

What you’ll need
  • Minimum of 5 years’ experience in a quality management role
  • Demonstrated experience applying structured quality improvement methodologies (e.g., Lean, Six Sigma, DMAIC) required
  • Working knowledge of managed care and utilization review accreditation standards, including URAC and NCQA, and multi-state regulatory requirements
  • Six Sigma Green Belt or equivalent certification preferred
  • Exceptional customer service skills
  • Exceptional analytical and critical thinking skills
  • Excellent oral and written communication skills and interpersonal skills
  • Exceptional orientation to detail
  • Excellent organizational skills
  • Ability to work under pressure and meet deadlines while managing multiple high priorities and supporting a flexible schedule
  • Knowledge and understanding of the Company’s clients, products, departments, and workflows
  • Personal computer literacy and competency in use of Microsoft Word, Microsoft Excel (intermediate skill), Power Point and PowerBI
  • Ability to maintain a high level of objectivity and confidentiality
  • Experience in quality improvement activities within a healthcare, health insurance and/or managed care organization preferred
  • Experience in supplying small group and individual training preferred
  • Experience in research beneficial and preferred

Benefits

Comp & perks
  • 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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
quality managementquality improvement methodologiesLeanSix SigmaDMAICprocess performance measurementdata analysistrend analysisprocess stability analysisquality metrics reporting
Soft Skills
customer serviceanalytical skillscritical thinkingoral communicationwritten communicationinterpersonal skillsattention to detailorganizational skillsability to work under pressureflexibility
Certifications
Six Sigma Green Belt