Quality Improvement Coordinator remote jobs - 121 jobs
Quality Improvement Spec III (CA) - Remote
Health Services Advisory Group 4.1
Remote job
Are you passionate about
improving
the quality of healthcare?
Are you ready to
leverage your talents
to make healthcare better for everyone?
Do you want the opportunity to
give back
to your community?
Do you want to have
fun at work
?
Then join the growing team at Health Services Advisory Group (HSAG) that is transforming the delivery of healthcare in the United States!
SummaryUnder supervision of the Director, the Quality Improvement Specialist (QIS) supports the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network-Quality Improvement Organization (QIN-QIO) Program by providing hands-on technical assistance and quality improvement (QI) support to healthcare providers-primarily nursing homes, hospitals, and physician practices. The QIS collaborates with providers to assess performance, conduct root cause analyses, and co-develop Quality Action Plans (QAPs) aligned with CMS priorities. This position plays a vital role in driving the adoption of evidence-based interventions, guiding providers through regulatory requirements, and helping them improve safety, care quality, and outcomes for Medicare beneficiaries through onsite visits, virtual coaching, and educational outreach.
Core Competencies and Responsibilities- Provider Engagement and Relationship Management· Serve as the primary contact for assigned providers to promote participation and secure Provider Service Agreements.· Build and sustain collaborative relationships with providers and stakeholders to foster long-term engagement.· Clearly communicate complex healthcare and QI concepts via meetings, teleconferences, and written correspondence.· Refer inquiries appropriately and consult with supervisors and internal teams, when needed.
QI and Technical Assistance· Apply evidence-based QI methodologies to conduct comprehensive assessments, perform root cause analyses, and deliver technical assistance aligned with CMS project goals and metrics.· Develop customized Quality Action Plans (QAPs) grounded in evidence-based interventions and recognized best practices.· Collaborate with internal teams and external stakeholders to implement effective QI interventions.· Deliver QI education, resources, and training to healthcare providers and stakeholders.
Data and Reporting· Analyze clinical and operational data to identify performance gaps, interpret trends, and guide providers in implementing targeted QI strategies.· Provide tailored technical assistance through data analysis, QI coaching, and coordination of relevant resources.· Promptly and accurately document project activities, site visits, provider communications, and outcomes using HSAG and CMS-approved systems.
Professional Development and Compliance· Maintain up-to-date knowledge of QI methodologies, tools, and best practices through continuous professional development.· Stay current on best-practice guidelines and regulatory updates from CMS, the Centers for Disease Control and Prevention (CDC), Substance Abuse and Mental Health Services Administration (SAMHSA), and other regulatory agencies.
Project Execution and Team Collaboration· Manage multiple initiatives, deadlines, and deliverables with strong organization and accountability.· Contribute to the development of tools, educational content, reports, and other deliverables in a team environment.· Effectively shift strategies and support approaches to align with evolving program goals, regulatory updates, and emerging challenges in the healthcare environment.· Occasionally work extended hours to meet project deadlines.Other Qualifications
Working knowledge of Microsoft Office, SharePoint, or similar productivity and customer relationship management (CRM) systems is preferred.
Strong written and verbal communication skills, including experience delivering presentations, conducting training, and engaging with providers via phone and email.
Commitment to improving healthcare quality, safety, and outcomes for Medicare beneficiaries.
Detail-oriented with strong initiative, sound judgment, and the ability to manage multiple priorities independently.
Education and Experience Requirement
Bachelor's degree required; Master's degree preferred.
Minimum of 5 years of experience in a healthcare-related field, including QI experience.
LPN or RN preferred.
Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. DisclaimerThis is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, work load, rush jobs requiring non-regular work hours, or technological developments).
HSAG is an EEO Employer of Veterans protected under Section 4212.If you have special needs and require assistance completing our employment application process, please feel free to contact us.
EOE M/F/Veteran/Disability
$83k-116k yearly est. Auto-Apply 10d ago
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Quality Improvement Specialist (Full-time Remote, North Carolina Based)
Alliance 4.8
Remote job
The Quality Improvement Specialist plans and executes organization-wide improvement projects in order to improve organizational performance and promote efficient use of resources through effective design, measurement and analysis of key clinical and operational processes. Applies statistical techniques, root cause analysis, Lean, Six Sigma, and other process improvement tools and techniques with subject matter experts to drive effective interventions and track the implementation of those interventions. The Quality Improvement Specialist will manage several projects simultaneously.
This position is full-time remote. Selected candidate must reside in North Carolina. Occasional travel for onsite meetings at the Home office (Morrisville, NC) may be required.
Responsibilities and Duties
Manage interdepartmental projects to achieve quality targets-
Form a team of experts required for effective completion of the project, documenting the projected resources, dates, and goals
Develop and adhere to a timeline and list of tasks and resources should be generated that will describe the project in detail and plot important dates, meetings, and prospective finish
Prepare and present project reports on a regular basis to the Project Team, Executives, and the Board of Directors
Conduct regular meetings with team members to discuss the status of the project and also to make necessary changes and improvements to achieve the desired results
Motivate and influence staff assigned to the project in order to accomplish task(s) successfully Statistics, Sociology, Economics, Public Health, Business Administration, Organizational Development, Psychology or related social science
Identify and promptly address any problems that may pose a risk to achieving the desired outcome of the project within the time and budget constraints
Create and deliver presentations and trainings to variety of internal and external stakeholders as needed
Identify the root causes of quality issues to ensure the problem is well defined and can be addressed
Leverage lean concepts to identify nonvalue-added elements and activities, and are able to use quality tools to identify failure points in processes
Conduct process mapping exercises, design effective data collection plans, understand sources of performance variation, and communicate these principles effectively to a broad audience
Define success targets based on internal and external requirements as well a well thought out business case
Effectively measure the key output variables to ensure all performance changes are accurately assessed
Conduct statistical analysis of initial and repeat measures to evaluate efficacy of interventions and to improve approach to successfully resolving root cause as needed
Design appropriate sampling plans and measurement systems to assess process capability and overall system performance
Evaluate validity and accuracy of data sources to draw appropriate conclusions
Analyze changes in performance to determine the impacts of interventions
Perform any required data analysis to evaluate performance gaps
Prepare comprehensive reports to ensuring adequate documentation and methodology to support findings and recommendations
Design and lead the implementation of effective interventions to drive improvement
Generate and evaluate solution ideas using Lean methodologies to reduce and prevent waste
Develop plans for implementing proposed improvements, including conducting pilot tests or simulations, and evaluate results to select the optimum solution
Develop a sustainable monitoring process and procedure that will ensure long-term success
Verify reduction in failures due to the targeted root cause
Ensure that all staff involved in the improvement efforts are trained to sustain the improvements and have a robust monitoring plan to detect future performance issues
Knowledge, Skills, & Abilities
Advanced Project Management skills
Advanced Quality Improvement Methodologies (Lean, Six Sigma, Kaizen, etc.)
Advanced Data Collection & Analysis skills
Advanced Microsoft Applications (Excel, Word, PowerPoint etc.) skills
Advanced Communication Skills
Advanced Collaboration Skills (problem-solving, mediation, conflict resolution and teamwork)
Knowledge and experience with NCQA and HEDIS measurements
Medicaid Experience
Financial management skills
Minimum Education & Experience
Bachelor's degree and five (5) years of experience leading project teams focused on large-scale quality improvement efforts and/or experience gathering, editing, and analyzing data for social and economic research;
or
Master's degree and three (3) years of experience leading project teams focused on large-scale quality improvement efforts and/or experience gathering, editing, and analyzing data for social and economic research.
Special Requirement
Certification as a Lean practitioner and/or Six Sigma Black Belt is required within eighteen (18) months of employment
Salary Range
$68,227 -$86,990/ Annually
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes:
Medical, Dental, Vision, Life, Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility
$68.2k-87k yearly 25d ago
HEDIS Quality Improvement Coordinator - Hybrid
Genuine Health Group
Remote job
The HEDIS/Quality ImprovementCoordinator performs a key role in ensuring healthcare providers excel in meeting Quality Measures consistent with the CMS Star Rating Program. This position is responsible for medical record reviews, audits, and performance tracking for several providers as assigned. Works closely with each provider to educate and identify areas of improvement ensuring compliance with regulatory guidelines. This position will require strong organization, communication skills, and feedback to achieve maximum CMS Star Ratings every year. Assists with other clerical duties as required.
Essential Duties and Responsibilities
Engages physicians and office staff to facilitate discussions on medication adherence, prescription refills and other metrics relevant to HEDIS Part D, aiming to gather comprehensive patient data.
Performs medical record reviews, abstraction and data-entry for HEDIS as part of HEDIS operations.
Prepares reports and presentations outlining progress findings, and recommendations for management or regulatory bodies.
Conducts monthly reviews in a timely manner and in accordance with established guidelines. Tracks compliance issues, trend data, prepares regular reporting to enhance performance related to HEDIS measures, and distributes to providers and internal teams.
Stays informed about the HEDIS/STAR rating requirements and applicable annual updates.
Prepares, submits, and bill findings to external stakeholders, ensuring adherence to reporting deadlines.
Presents a summary of all tracking reports to identify areas of improvement monthly or upon request.
Road travel required - 25% (Miami-Dade and Broward Counties)
Performs other related duties as assigned.
Knowledge, Skills and Abilities
Strong organizational skills with keen attention to detail
Ability to handle time-sensitive information, manage priorities and workflow.
Excellent verbal and written communication skills.
Proven customer service skills and demonstrated ability to deal effectively with a diversity of individuals.
Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm.
Proficient in Microsoft 365: Word, Excel, PowerPoint, Outlook and Teams.
Proven ability to handle multiple projects and meet deadlines.
Minimum Education and Experience
Some college, plus two years of related professional work experience, or equivalent combination of education and experience.
Two years of related healthcare experience working with ICD 9/10 codes and EMR's.
Basic knowledge and understanding of HEDIS projects.
Bilingual (English and Spanish) required.
Proven ability to use MS Office and perform diverse clerical functions within a professional work environment.
Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.
Are you ready to bring your clinical competencies to a world-class Medical Group known for the very highest clinical standards? Do you have a passion for the highest quality and patient satisfaction? Then please respond to this dynamic opportunity available with one of the best places to work in Southern California! We would be happy to hear from you.
The Cedars-Sinai Medical Network is committed to helping primary care and specialist physicians provide excellent care to all their patients, who benefit from convenient access to primary and specialty care physicians and seamless coordination of care between them. As a part of Cedars-Sinai, our physicians and staff are partners in quality health care from a medical center that is consistently recognized as one of the finest hospitals in the country. For the 8th consecutive year, we have been named one of the top 20 Physician Groups in Southern California by Integrated Healthcare Associates (IHA).
Why work here?
Beyond outstanding benefits, competitive salaries and health and dental insurance we take pride in hiring the best, most passionate employees. Our talented staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for.
What will you be doing in this role?
The Quality ImprovementCoordinator will assess, analyze, and recommend quality and clinical performance improvement processes to assure that the highest standards of quality care can be achieved. This position will provide clinical expertise to assist with case-finding, identification of opportunities, and performance improvement activities. This position will also measure performance and identify opportunities to improve performance in value-based systems of care. As healthcare evolves with new models of service delivery, quality improvement activities will strive to ensure that care is both patient-centered and passionate about maintaining the health of our entire patient population in an efficient and effective way. This position serves as a key participant in the successful management of value-based contracts, focusing on both individual patients and population trends.
Primary Duties & Responsibilities
Identify and prioritize clinical cases in terms of follow up/escalation of services and/or care
Perform daily chart abstraction and present patient cases to a multi-disciplinary team with possible care suggestions if applicable and follow through with implementation
Engage with care managers, social workers, physicians, external vendors and other collaborators to ensure continuity of care and follow-through on plan of care
Draft correspondence to patients or external vendors on behalf of the care management team or individual physicians
Aggregate and clinically analyze quality and value metric data in support of Medical Directors/Chairs of the specific departments as requested
Perform in-depth analysis of individual cases as well as trend analysis across the entire population of patients as requested
Create clinical quality and value dashboards and action reports in support of performance improvement activities
Develop slide decks and other communication tools and make periodic presentations to share trend information with key collaborators as requested
Lead and facilitate daily and weekly meetings discussing patient care as well as other meetings ad hoc
Participate in Performance Improvement activities to improve care delivery, clinical outcomes, and clinical efficiency
Support HEDIS, pay-for-performance, ACO and other clinical pay-for-performance and pay-for-value program as requested
Education
Associate's Degree in Nursing required
Bachelor's Degree in Nursing preferred
Licenses and Certifications
Valid CA RN License required
Work Experience
Two (2) years of prior clinical experience in an acute or ambulatory health care setting required
Two (2) years of experience in support of quality improvement, process improvement or total quality measurement required
$93k-127k yearly est. Auto-Apply 60d+ ago
Quality Improvement Outreach Specialist
Wellsense Health Plan
Remote job
It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
Job Summary:
The Quality Improvement Outreach Specialist supports quality improvement initiatives through member-focused outreach and engagement focused on closing quality gaps in care and improving health outcomes. This role conducts proactive outreach to members for all lines of business to encourage completion of recommended preventive screenings and chronic care services. As a key member of the Quality team, this position plays a vital role in improving HEDIS, Stars and other quality measure performance and advancing overall member health through culturally competent education, coordination, and engagement.
Our Investment in You:
· Full-time remote work
· Competitive salaries
· Excellent benefits
Key Functions/Responsibilities:
· Perform outreach calls to members with quality gaps in care
· Provide education, motivational support, and scheduling assistance to help close identified care gaps and improve quality outcomes
· Follow up with members requiring support in taking steps to close care gaps
· Document outreach activities, tracks progress and results and supports reporting for quality campaign and initiatives
· Evaluate Health Related Social Needs that may impact the member's ability to access needed services
· Collaborate with internal teams to ensure coordinated member support
· Meet quality and timeliness standards to achieve individual and departmental performance goals
· Maintain current knowledge of quality measures and best practices
· Ensure compliance with all state and federal regulations for activities performed
· Participate in quality improvement activities and cross-department meetings, supporting discussions and reporting as needed
· Develop and maintain policies & standard operating procedures of processes to maintain compliance
· Support programs and clinical best practices with the objective of improving health outcomes, preventing hospital readmissions, and promoting health and wellness activities
· Other duties as assigned
Qualifications:
Education Required:
· Associate degree in nursing or post high school nursing diploma
Education Preferred:
· Bachelor's or Master's Degree in healthcare or related field
Experience Required:
· 2 years of experience as a practicing nurse in a hospital/healthcare setting or performing direct member outreach
Experience Preferred/Desirable:
· 2+ years of experience in health insurance field
· 2+ years of experience in quality improvement
Required Licensure, Certification or Conditions of Employment:
· Successful completion of pre-employment background check
Competencies, Skills, and Attributes:
Required :
· Strong proficiency in use of office equipment including copier, fax machine, scanner, and telephones
· Strong PC proficiency in word processing, spreadsheet, and database software
Preferred:
· Advanced PC proficiency
Professional Competencies:
Required:
· Effective collaborative and proven process improvement skills
· Strong oral and written communication skills; ability to interact within all levels of the organization
· Demonstrated commitment to excellent customer service
· Knowledge and understanding of current trends in healthcare
· Aptitude for aligning process, projects, and people to meet business goals in cross-functional team settings
· Health care payer business knowledge including processes and operational data and functions that support the business
· Maintain confidentiality and privacy
· Capable of investigative and analytical research to make decisions and recommendations based on available information
· Independent and sound judgment with good critical thinking skills
· Knowledge of managed care, utilization management, and quality management
· Establish and maintain working relationships with health care providers, members, and coworkers
· Practice interpersonal and active listening skills to achieve customer satisfaction and departmental communication standards
· Ability to Interpret policies, programs, and guidelines
· Establish and maintain working relationships in a collaborative team environment
· Organizational skills with the ability to prioritize tasks and work with multiple priorities
· Maintains current knowledge of State, Federal and other applicable regulatory/accrediting agency requirements as they apply to department functions
Compensation Range
$74,000 - $107,000
This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.
Note: This range is based on Boston-area data, and is subject to modification based on geographic location.
About WellSense
WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees
$74k-107k yearly 13d ago
Contract Coordinator
Henry Schein 4.8
Remote job
This position is responsible for processing and administrating End User Sales Contracts. Justifies and validates eligibility of rebate-able Manufacturer Contracts. Reconciles and collects vendor rebates due and accurately record data into the General Ledger
.
KEY RESPONSIBILITIES:
30% Responsible for the membership verification and proper account addition or removal from manufacturer sales rebate contracts, with specific tasks including:
A. Maintains and updates membership directories for contracts including enrollment where applicable.
B. Reviews manufacturer contract membership lists to confirm eligibility before an account is linked to a contract. Will verify that all active ship-to's are also eligible to access the contract. Will coordinate with the sales rep and manufacturer to get approval for all ship-to's that are not initially approved.
C. Advises Sales Reps whenever an acct is linked to or removed from a contract
25% Responsible for the creation and maintenance of manufacturer sales rebate contracts, with specific tasks including:
A. Tracks and administers manufacturer sales rebate contracts and validates rebate contract data to ensure accuracy.
B. Requests renewal contracts or extensions from the manufacturers prior to contract expiration.
C. Compares the replacement contracts to the existing contracts. Informs management and sales reps of any significant cost changes, or items being added to / removed from the contract.
D. Maintains GPO and non-GPO contract sell prices at both the plan and customer level.
E. Responsible for designing and maintaining accurate files containing Customer level, GPO, Multi-tiered, All Sales, Plan and/or Customer Group contracts.
20% Responsible for the preparation, review, and analysis of chargeback details sent to manufacturers and the analysis and reconciliation of the manufacturer approvals and discrepancies, with specific tasks including:
Prepares and distributes to the manufacturers the chargeback details on a monthly basis to justify our chargeback requests. Evaluates and reports chargeback activity to management, providing explanations as to why there may have been an increase or decrease in activity, such as a change in sales volume or product cost. Analyzes and reconciles sales rebate contract discrepancies. Works with Finance groups to determine recorded receivables versus outstanding receivables. Contacts manufacturers directly to follow up on collections of due chargeback receivables.
10% Analyze and resolve pricing discrepancies. Counsels sales reps or other departments on pricing and cost queries.
5% Participates in special projects and performs other duties as required.
5% Provides recommendations to management on software and hardware to improve workflow efficiency.
5% Prepares and distributes various reports to Contract Rebate team members that indicate if customer information has changed, new customers have been created, item status has changed, item has been replaced, potential unit of measure errors, and contracts will be expiring.
SPECIFIC KNOWLEDGE & SKILLS:
Microsoft Excel and Access skills.
Knowledge of sales plans and contracts.
Must be very detail oriented.
Able to prioritize multiple tasks.
GENERAL SKILLS & COMPETENCIES:
• Strong time management skills and the ability to prioritize work and meet deadlines
• Very good attention to detail and accuracy
• Customer service oriented and the ability to work with complex issues
• Ability to plan and arrange activities
• Excellent interpersonal communication skills
• Excellent written and verbal communication skills
• Ability to maintain confidential and highly sensitive information
• Ability to work in a team environment
• Ability to multi-task
• Ability to manage conflict
• Capacity to work effectively under pressure
• Analytical thinking
• Oversee small projects
• Establish productive working relationships at multiple levels within the organization
MINIMUM WORK EXPERIENCE:
Typically 4 or more years of related experience.
PREFERRED EDUCATION:
Typically High School education, vocational training and/or on-the-job training. Bachelor's degree preferred.
TRAVEL / PHYSICAL DEMANDS:
Travel typically less than 10%. Office environment. No special physical demands required.
The posted range for this position is $40,753 to $63,678 which is the expected starting base salary range for an employee who is new to the role to fully proficient in the role. Many factors go into determining employee pay within the posted range including prior experience, current skills, location/labor market, internal equity, etc.
Other benefits available include Medical, Dental and Vision Coverage, 401K Plan with Company Match, PTO [or sick leave if applicable], Paid Parental Leave, Income Protection, Work Life Assistance Program, Flexible Spending Accounts, Educational Benefits, Worldwide Scholarship Program and Volunteering Opportunities.
Henry Schein, Inc. is an Equal Employment Opportunity Employer and does not discriminate against applicants or employees on the basis of race, color, religion, creed, national origin, ancestry, disability that can be reasonably accommodated without undue hardship, sex, sexual orientation, gender identity, age, citizenship, marital or veteran status, or any other legally protected status.
For more information about career opportunities at Henry Schein, please visit our website at: ***************************
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Please be advised that Henry Schein's official U.S. website is
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. Any other format is not genuine. Any jobs posted by Henry Schein or its recruiters on the internet may be accessed through Henry Schein's on-line "career opportunities" portal through this official website. Applicants who wish to seek employment with Henry Schein are advised to verify the job posting through this portal.
No money transfers, payments of any kind, or credit card numbers, will EVER be requested from applicants by Henry Schein or any recruiters on its behalf, at any point in the recruitment process.
$40.8k-63.7k yearly Auto-Apply 10d ago
Quality Improvement Project Specialist, Remote
Aledade 4.1
Remote job
The Quality Improvement Project Specialist plays a key role in supporting quality initiatives by identifying, advancing, and communicating key objectives while utilizing QI best practices and project management tools to track progress and ensure successful execution across internal and external workstreams. Reporting directly to the VP of Clinical Quality, this role requires expertise in value-based care with a particular focus on quality initiatives. The ideal candidate will act as a right hand to the VP, managing multiple deliverables and collaborating closely with both internal teams and external partners. Strong communication and stakeholder engagement skills are essential, as this position offers the opportunity to work in partnership with senior leadership and contribute to driving organizational quality goals.Primary Duties:
Aggregate and analyze data from multiple sources, to generate insights, presenting findings through reports and dashboards that highlight the potential impacts on key performance indicators and overall business objectives.
Define the optimal approach for each project including defining roles, stakeholder involvement, risk assessment, resource constraints, dependencies and expected outcomes, reviewing and approving processes, anticipating milestone dates, and adjusting throughout the course of the project to ensure alignment with quality team objectives. .
Monitor project progress, assess team capacity, and adjust as needed to maintain execution velocity, while managing multiple priorities.
Organize and lead cross-functional, quality-related project meetings. Including agenda development, scheduling, presentation preparation, documentation of notes and tracking follow-up actions.
Develop clear and compelling presentations and reports to effectively communicate quality improvement strategies and outcomes to diverse audiences.
Perform administrative tasks as directed by quality team members to support project execution and team operations
Minimum Qualifications:
Bachelor's degree required
Proven ability to manage projects with excellence: successfully toward completion, coordinating and collaborating across multiple projects and teams, with foresight and timely communication
Advanced command of Excel, Google Sheets, and related data manipulation tools
Strong skills with presentation tools such as PowerPoint and Google Slides
5+ years of work experience (preferred)
Have experience and thrive in a fast-paced environment
Willingness to travel as needed to Aledade's headquarters or markets 10-15% of the time
Preferred Qualifications:
PMP certification preferred; Quality Improvement certification a plus (Lean 6 Sigma, IHI Quality Coach or Improvement Advisor, etc.)
Understanding and having experience with Tableau, Miro, Jira, Monday.com
Experience in value-based care
Physical Requirements:
Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
Who We Are:Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.
What Does This Mean for You?At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
Flexible work schedules and the ability to work remotely are available for many roles Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners Robust time-off plan (21 days of PTO in your first year) Two paid volunteer days and 11 paid holidays12 weeks paid parental leave for all new parents Six weeks paid sabbatical after six years of service Educational Assistant Program and Clinical Employee Reimbursement Program 401(k) with up to 4% match Stock options And much more!
At Aledade, we don't just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at *************************************************
$48k-67k yearly est. Auto-Apply 59d ago
Quality Improvement Specialist 2 - Full Time - Remote
University of Miami 4.3
Remote job
Current Employees:
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet.
The Quality Improvement Specialist 2 leads and directs multiple complex projects with high levels of functional and clinical integration across the UHealth enterprise. The incumbent is responsible for medium to large scale project lifecycles from request, assessment, planning, execution, monitoring and optimization. This role is expected to leverage Project/Performance Improvement (PI) principles (e.g., Lean Six Sigma, PDSA, and Industrial Engineering) and Project Management (PM) principles and tools that will have a direct impact in healthcare quality, patient safety, clinical transformation, value based care, and/or clinical variations in order to successfully design, communicate, and strategically implement healthcare quality programs and initiatives that deliver on key organizational objectives.
Leads collaborative efforts by fostering a culture of shared accountability in a high performing work group.
Assembles and leverages project teams, assigning individual responsibilities, identifying appropriate resources needed and developing a roadmap and schedule to ensure timely completion of projects.
Analyzes clinical quality data, identifies opportunities, and develops and implements action plan for quality improvement initiatives.
Delivers solutions that are systematic, scalable, incorporate business process management, incorporate advanced technology solutions, and often impact organizational culture and clinical transformation. Ensures adherence to quality and data governance standards.
Ensures recommended solutions meet the targeted business/clinical objectives, and a plan is in place to monitor sustainability of the recommendations.
Communicates from the top down and bottom up regarding the team responsibilities, target dates, project status, resource needs and provides general project communication as needed.
Fosters clear communication and synchronizes the activities of multiple projects and teams. Creates and maintains proper documentation of project related tasks and timelines.
Presents recommendations and strategies to decision makers that are systematic, scalable, incorporate business process management, incorporate technology solutions, and often impact organizational culture and clinical transformation.
Collaborates with and mentors employees in Quality Improvement Specialist 1 positions. Works closely with the Patient Safety & Quality leadership team.
Adheres to University and unit-level policies and procedures and safeguards University assets.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
Education:
Bachelor's degree in relevant field
Experience:
Minimum 5 years of relevant experience
Knowledge, Skills and Behaviors:
Ability to maintain effective interpersonal relationships
Ability to communicate effectively in both oral and written form
Skill in collecting, organizing and analyzing data
Proficiency in computer software (i.e., Microsoft Office)
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
Job Status:
Full time
Employee Type:
Staff
$44k-58k yearly est. Auto-Apply 12d ago
Associate Director, Risk Based Quality Management, Oncology
Sumitomopharma
Remote job
Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website ********************************** or follow us on LinkedIn.
The Associate Director, RBQM, provides study-level leadership for risk-based quality management across Phase 1-4 oncology clinical trials. Reporting to the Executive Director, Data Management, this role drives data-driven quality oversight, ensuring clinical trial risks are proactively identified, monitored, and mitigated in alignment with regulatory expectations and Sumitomo Pharma America quality standards.
Job Duties and Responsibilities
Plays a key role in facilitating understanding of the SMPA RBQM Strategy within Clinical Project Teams by providing targeted training sessions and ensuring alignment across team members.
Lead and facilitate cross-functional risk assessment meetings.
Maintain comprehensive and traceable documentation of all risk assessment activities, mitigation decisions, and quality parameters, ensuring periodic review and updates as required.
Own the development, maintenance, and ongoing updates of Risk Assessment Categorization Tools (RACT) and Quality Risk Management Plans (QRMP) for assigned studies.
Ensure alignment of functional study plans with approved risk assessment and quality parameter documents
Ensure alignment of study risks with Critical to Quality (CtQ) factors, protocol requirements, and data quality objectives.
Partner closely with Data Management and Biostatistics to define, implement, and monitor KRIs and QTLs.
Partner closely with Director Clinical Operations, Oncology, including RBQM central monitoring as part of the overall monitoring strategy.
Lead the execution of centralized monitoring strategies, including ongoing data review, signal detection, and trend analysis.
Provide expert guidance on targeted SDV and targeted SDR approaches based on evolving risk profiles.
Interpret complex clinical and operational datasets to identify emerging risks and recommend mitigation strategies.
Develop and deliver risk analytics, dashboards, and trend presentations to Clinical Project Teams and functional leadership.
Act as the RBQM subject matter expert within Data Management, providing consultation and guidance to cross-functional stakeholders.
Support inspection readiness by ensuring RBQM rationale, documentation, and decisions are inspection-ready and defensible.
Contribute to the continuous improvement of RBQM processes, tools, and standards across Data Management.
Maintain high proficiency in systems and technology as applicable to RBQM monitoring analytics and data access.
Contribute to the SMPA technology strategy, including serving as business lead for specific technology.
Ensure all risk assessment and quality management activities are conducted in accordance with related company SOPs, including documentation, approval, and filing requirements.
Manage direct line reports, providing guidance, mentorship, and performance feedback to ensure their professional growth and the successful execution of their responsibilities.
Education and Experience
Bachelor's or advanced degree, preferably in life sciences, data analytics/ technology, or a related field.
8+ years of progressive experience in clinical development, data management, clinical quality, or RBQM.
Demonstrated experience supporting or leading oncology clinical trials across Phase 1-4.
Hands-on experience with TransCelerate RBQM frameworks, including RACT and QRMP ownership.
Proven ability to lead risk assessments and influence cross-functional teams without direct authority.
Experience implementing centralized monitoring, KRIs, QTLs, and risk-based SDV/SDR strategies.
Experience operating effectively in a matrixed, global environment.
Experience supporting regulatory inspections or audits related to RBQM.
Familiarity with centralized monitoring platforms and data visualization tools.
Experience contributing to functional or enterprise-level RBQM initiatives.
The base salary range for this role is $155,200 to $194,000. Base salary is part of our total rewards package which also includes the opportunity for merit-based salary increases, short incentive plan participation, eligibility for our 401(k) plan, medical, dental, vision, life and disability insurances and leaves provided in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays plus additional time off for a shut-down period during the last week of December, 80 hours of paid sick time upon hire and each year thereafter. Total compensation, including base salary to be offered, will depend on elements unique to each candidate, including candidate experience, skills, education and other factors permitted by law.
Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
Confidential Data: All information (written, verbal, electronic, etc.) that an employee encounters is considered confidential.
Compliance: Achieve and maintain Compliance with all applicable regulatory, legal and operational rules and procedures, by ensuring that all plans and activities for and on behalf of Sumitomo Pharma America (SMPA) and affiliates are carried out with the "best" industry practices and the highest ethical standards.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Mental/Physical Requirements: Fast paced environment handling multiple demands. Must be able to exercise appropriate judgment as necessary. Requires a high level of initiative and independence. Excellent written and oral communication skills required. Requires ability to use a personal computer for extended periods of time.
Sumitomo Pharma America (SMPA) is an Equal Employment Opportunity (EEO) employer
Qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
$155.2k-194k yearly Auto-Apply 3d ago
Director, Quality Management Office (Job 1241) - Clinical, Biomedical, or Laboratory Research experience required
DLH 4.5
Remote job
About Us
DLH delivers improved health and national security readiness solutions for federal programs through science research and development, systems engineering and integration, and digital transformation. Our experts in public health, performance evaluation, and health operations solve the complex problems faced by civilian and military customers alike by leveraging advanced tools - including digital transformation, artificial intelligence, data analytics, cloud enablement, modeling, and simulation, and more. With over 2,400 employees dedicated to the idea that “Your Mission is Our Passion,” DLH brings a unique combination of government sector experience, proven methodology, and unwavering commitment to innovation to improve the lives of millions.
Overview
The Director, Quality Management Organization (QMO), provides visionary strategic, operational, and technical leadership to ensure the highest standards of quality and regulatory compliance across a diverse research enterprise. This critical role commands a broad span of control, overseeing quality and regulatory systems for an active public health and scientific research organization encompassing complex, multi-site clinical trials, clinical, observational, and epidemiological research. The Director manages all aspects of quality management, process optimization, regulatory alignment, professional writing, proposal development, business development activities, and continuous improvement to support organizational goals, compliance obligations, and research excellence.
Responsibilities
Provide enterprise-wide leadership and oversight for multi-disciplinary quality and regulatory teams supporting clinical trials, epidemiological research, BSL-2 laboratory biospecimen processing, and survey-based projects.
Direct the development, implementation, and continual improvement of the Quality Management Plan (QMP) and related Standard Operating Procedures (SOPs), ensuring integration of risk-based quality management practices and robust internal controls across all research activities.
Ensure strict compliance and alignment with all applicable federal (FDA, NIH, CDC), international (ICH GCP, GLP, ISO), regulatory, contractual, biosafety (including BSL-2), human subject protection (HHS/OHRP, IRB), and privacy (HIPAA) requirements.
Oversee the implementation and enforcement of biosafety management systems and maintain integrity and inspection readiness of all regulatory and quality documentation, including electronic systems and Trial Master Files.
Develop and execute comprehensive audit and inspection programs, manage CAPA processes, and directly engage with sponsors, regulatory agencies, and external assessors, leading remediation and continuous improvement efforts.
Recruit, mentor, and professionally develop quality assurance, quality improvement, and regulatory staff to sustain high-performing, cross-functional teams suited for high-complexity research environments.
Serve as the organization's principal subject matter expert and liaison on quality and regulatory affairs, engaging with regulatory bodies, sponsors, clients, IRBs, accrediting agencies, and internal leadership.
Lead and contribute to professional writing, technical proposal development, statements of work, and responses to RFPs/RFIs, supporting business development activities and showcasing organizational quality and regulatory capabilities.
Qualifications
Bachelor's or Master's degree in biomedical science, public health, laboratory science, clinical research, quality/regulatory discipline, or a related field.
At least 12 years of experience with Master's degree OR 14 years of experience with a Bachelor's degree of progressive quality and regulatory management experience in clinical, biomedical, or laboratory research organizations, including 6 years in a leadership or director-level role.
Demonstrated expertise in quality assurance and regulatory oversight of multi-site clinical trials, with advanced knowledge of federal, international, and sponsor regulations (e.g., FDA, 21 CFR, ICH GCP, GLP, BSL-2, CLIA, ISO, OHRP, HIPAA, IRB/ethics).
Proven record of successful audit/inspection readiness and compliance, including substantial experience planning for, managing, and hosting sponsor, client, and regulatory audits, as well as developing and managing QMPs and SOPs in complex research environments.
Strong professional, scientific, and technical writing skills, including the development of quality and regulatory content for proposals, RFPs, and business development.
Exceptional leadership, analytical, and cross-functional collaboration skills; proficiency with electronic quality, document, and biospecimen/data management systems; and outstanding communication with regulatory authorities, sponsors, and multidisciplinary research teams.
Preferred - Doctoral degree (PhD, PharmD, MD) in a relevant scientific, biomedical, or regulatory field.
Preferred - Certification such as RAC (Regulatory Affairs Certification), ASQ CQE/CQA, or equivalent.
Preferred - Experience with accreditation processes (e.g., CAP, CLIA) and international research standards.
Preferred - Demonstrated knowledge of FDA regulatory process and landscape, including familiarity with key regulatory pathways (e.g., IND, NDA, BLA, 510(k), PMA) and documentation requirements
Preferred - Experience interpreting and applying current FDA regulations, guidance documents, and best practices throughout the product development lifecycle is highly desirable
Basic Compensation: $140,000 - $160,000 yearly salary
The salary range listed reflects what we reasonably expect to pay for this role at the time of posting. The final offer may vary based on skills, experience, geographic location, market conditions, and internal equity. Additional compensation may include performance incentives and program-specific awards. We do not use salary history to determine compensation, in line with applicable law.
Benefits
DLH Corp offers our employees an excellent benefits package including Personal Time Off (PTO), medical, dental, vision, supplemental life with AD&D, short and long-term disability, flexible spending accounts, parental leave, legal services, and more. We want our employees to save for their future; therefore, we offer a 401(k) Retirement Plan, which includes a matching component. DLH is dedicated to your career development, providing training to help drive success, with access to our best-in-class e-learning suite for formal and informal learning, professional and technical certification preparation, and education assistance at accredited institutions.
#LI-REMOTE
EEO
DLH Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment. DLH will provide reasonable accommodation to individuals with disabilities and disabled Veterans who need assistance to apply.
$140k-160k yearly Auto-Apply 2d ago
Associate Director Quality Management
Iqvia 4.7
Remote job
Join IQVIA on our mission to drive healthcare forward!
We are recruiting for a Clinical FSP Associate Director Quality - Client Dedicated; open to candidates across USA and offering remote working.
The Clinical FSP Associate Director Quality - Client Dedicated, will contribute to the regional development and implementation of specific quality improvement initiatives as agreed with the relevant Head(s) of assigned business lines and provide advice / support to key stakeholders with regards to quality control, risk assessment, risk management, and corrective/preventive actions.
Why IQVIA?
Professional Development - resources that promote your career growth
Work-life Balance - leaders that support flexible work schedules
Growth Potential - clear pathways to success
Collaboration - teams that work together to achieve common goals
Variety - dynamic work environments that expose you to new experiences
Best-in-class Training - programs to help you build knowledge and gain skills
Awards
FORTUNE Magazine's World's Most Admired Companies list for the third year in a row - Ranked #1 in Its Category for the Second Consecutive Year
Responsibilities
Contributes to the development and supports implementation of the Quality Management Plan within the scope of the assignment this will include: Planning and executing the Quality Management activities. Risk identification and assessment through data review and quality control processes. Providing support in risk mitigation, in planning corrective/preventive actions, and guidance for improvement. Supporting the assigned business line management and staff to enhance effectiveness in project delivery.;
Cooperate closely with the relevant business lines and other stakeholders, support maintaining focus on quality in project delivery.
Provides advice and support to teams within the assigned business line on all aspects of Good Clinical Practice (GCP) compliance.
Works in close cooperation with teams to manage non-compliance, quality issues
Assist in planning corrective/preventive actions, as applicable according to Standard Operating Procedures (SOPs).
Informs the assigned business line and Quality Assurance of quality issues according to SOPs.
Works closely with Quality Assurance and assigned business staff in case of suspected misconduct, as required by the applicable SOPs.
May provide assistance during audits and regulatory inspections to the teams to the extent agreed with the line manager, as required by the applicable SOPs.
Acts as the primary contact for Quality Assurance on quality matters - on the level of the assignment, attend meetings/teleconferences.
Prepares periodic reports to business lines on quality related matters, risk assessments and specific quality improvement initiatives.
Manages staff in accordance with organization's policies and applicable regulations. Responsibilities include planning, assigning, and directing work, appraising performance and guiding professional development, rewarding and disciplining employees, addressing employee relations issues and resolving problems. Approve actions on human resources matters.;
Upon agreement with the Head of relevant business line: Performs any other reasonable tasks as required by the role.
Required Knowledge, Skills and Abilities
Bachelor's degree in life sciences or equivalent with a minimum of 5-7 years' prior relevant experience; or equivalent combination of education, training and experience.
Requires deep knowledge of one or more related job areas typically obtained through advanced education combined with experience.
Sound working knowledge of relevant terminology, International Conference on Harmonization (ICH), Good Clinical Practice (GCP), Standard Operating Procedures (SOPs), applicable regulatory requirements, quality management processes.
Excellent organizational, interpersonal and communication skills.
Excellent judgement and decision-making skills.
Demonstrated leadership and line management skills.
Excellent influencing and negotiation skills.
Strong computer skills including Microsoft Office applications.
Excellent problem-solving skills.
Demonstrated ability to work in a matrix environment.
Ability to lead and motivate a clinical team also required.
Ability to travel within the region/country.
Ability to establish and maintain effective working relationships with co-workers, managers and clients.
Fluent in English
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at **********************
IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. **********************/eoe
The potential base pay range for this role, when annualized, is $94,900.00 - $264,200.00. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.
$82k-109k yearly est. Auto-Apply 30d ago
Performance Improvement Specialist 4
Tampa General Hospital 4.1
Remote job
Performance Improvement Specialist 4 - (250004TZ) Description Job Summary:Under the general supervision of the Manager of Performance Improvement, conducts quality improvement projects to achieve the goals and objectives of Tampa General Hospital. Must lead improvement projects in their assigned area of the system through all project phases including identification, prioritization, definition, team facilitation, adherence to timelines, action planning and project completion and transition.
Collaborates with management to understand department needs and to ensure project alignment and results.
Mentors junior team members within department.
Responsible for performing job duties in accordance with mission, vision and values in accordance with Tampa General Hospital.
Essential Functions:Performance and Process Improvement - Use performance and process improvement, project management, and change management methods to support strategic, operational and clinical quality initiatives Population Health and Care Transitions - Evaluate and improve healthcare processes and care transitions to advance the efficient, effective and safe care of defined populations Health Data Analytics - Leverage the organization's analytic environment to help guide data-driven decision-making and inform quality improvement initiatives Patient Safety - Cultivate a safe healthcare environment by promoting safe practices, nurturing a just culture, and improving processes that detect, mitigate or prevent harm Regulatory and Accreditation - Support the improvement of compliance with internal and external requirements.
Support improvement projects that may result from follow-up on regulatory, accreditation and certification surveys Quality Review and Accountability - Direct activities that support compliance with voluntary, mandatory, and contractual reporting requirements for data acquisition, analysis, reporting and improvement Professional Engagement -Engage in the healthcare quality profession with a commitment to practicing ethically, enhancing one's competence, and advancing the field Quality Leadership and Integration - Advance the organization through collaboration, learning, and communication.
Lead the integration of quality into the fabric of the organization to achieve objectives Qualifications Master's Degree in Industrial Engineering, Healthcare Administration, Business Administration, Public Health, Nursing, and/or other related field.
Registered Nurse licensure, if applicable.
Certified Professional in HealthCare Quality (CPHQ), Certified Professional in Patient Safety (CPPS), American Society for Quality (ASQ), Project Management Professional (PMP), and/or Lean Six Sigma certification.
Minimum of 5 years of experience in quality/performance improvement in the healthcare setting OR Healthcare Professional: Minimum of 8 years in clinician, coordinator, specialist, or informatics role with experience leading quality improvement Certification may be earned within 1 year of hire.
An equivalent combination of education/certification and realized competencies Primary Location: TampaWork Locations: TGH Main Campus 1 Tampa General Circle Tampa 33601Eligible for Remote Work: Hybrid RemoteJob: Quality/Utilization ManagementOrganization: Florida Health Sciences Center Tampa General HospitalSchedule: Full-time Scheduled Days: Monday, Tuesday, Wednesday, Thursday, FridayShift: Day JobJob Type: Hybrid RemoteShift Hours: 8:00 am - 5:00 pm Minimum Salary: 85,238.
40Job Posting: Dec 22, 2025, 3:39:36 PM
$47k-68k yearly est. Auto-Apply 9h ago
Quality Improvement Specialist (HEDIS)
Centene 4.5
Remote job
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
***POSITION IS REMOTE BUT CANDIDATE MUST RESIDE IN THE STATE OF KENTUCKY, INDIANA OR OHIO***
Position Purpose: Support the development and maintenance of quality improvement related projects specific to HEDIS Hybrid Operations. The position exists to support the health plans in the clinical aspect of medical record review.
Train providers, health plans and staff in methodologies and tools of continuous quality improvement and HEDIS abstraction and over-read processes
Provide clinical support to the medical record abstraction, over-read and audit processes
Monitor performance on established contractual quality indicators.
Analyze, track and trend results
Prepare for and participate in meetings with various committees, state agencies, providers, health plans, vendors, and stakeholders
Recommend, develop, and implement quality performance improvement plans (PIPs) with management utilizing the PDSA model.
Monitor and report PIPs progress through closure.
Performs other duties as assigned
Complies with all policies and standards
Education/Experience: Bachelor's degree in Nursing, Healthcare, or Quality (including HEDIS measures or NCQA) or equivalent experience in related healthcare experience.
License/Certification: Valid state clinical license preferred (i.e.- LPN, RN, etc.)
Experience: Experience in HEDIS or NCQA or related topics preferred Pay Range: $56,200.00 - $101,000.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$56.2k-101k yearly Auto-Apply 2d ago
Grants Coordinator
Vail Valley Fondation 3.4
Remote job
The Grants Coordinator reports to the Senior Manager of Grants. The primary goals of this role include supporting grant revenue, reporting, and prospecting. Specific Responsibilities Qualifications & Experience Benefits & Compensation * This position will provide support to the Senior Manager of Grant Development on all grant and foundation fundraising needs, supporting grant revenue.
* Acquire and maintain sound knowledge and understanding of all VVF programs, to better understand all projects and programs for which grants will be sought and recommend grants to seek.
* Conduct the full range of activities required to identify, prepare, and submit, grant proposals across diverse grant funding sources.
* Compile, write, and edit all grant applications exhibiting strong writing skills and a high-level command of grammar and spelling.
* Develop individual grant proposals in accordance with each grant-making organization's preferences and guidelines.
* Provide regular written updates/reports to current and past funders.
* Prepare grant award summaries for internal tracking and coding purposes.
* Independently submit approximately $400,000 in applications to new funders annually.
* Work closely with program staff to gather data for proposals and reports.
* Use company systems and manage the process of supplying progress reports when required, assuring that all grant obligations are fulfilled.
* Maintain grant calendar, track grant reports and application deadlines and research new grant opportunities.
* Other ad hoc duties as assigned.
* Bachelor's degree in a relevant field, preferred. Or a combination of relevant experience in grant development, nonprofit operations, or related areas.
* Ability to compile, write, and edit grant applications with a high level of command over grammar and spelling.
* Strong writing and editing skills; proficiency in grammar and spelling.
* Capacity to work independently as part of a strong team.
* Strong leadership, initiative, and interpersonal skills.
* Excellent management and organizational skills, ability to work on multiple projects and deadlines simultaneously with flexibility and the capacity to generate innovative solutions and strategies.
* Excellent oral and written communication skills.
* Collaborative mindset and ability to build positive relationships with stakeholders.
* Eagerness to provide support to the greater Vail Valley Foundation staff as available and necessary.
* Experience with or capacity to learn Microsoft Office Suite, Blackbaud, Formstack, and other systems, preferred.
The ideal candidate aligns with the VVF's mission of service and brings an entrepreneurial, energetic, and creative approach to their work. An appreciation for the mountain lifestyle and community of the Vail Valley is valued. This role is primarily based in the Vail Valley; however, remote work may be considered based on role requirements and organizational needs.
This is an hourly, full time year-round position eligible for all VVF employment benefits.
The hourly pay range is $24.00 - $26.50 based on experience.
Our employees are a critical part of who we are and employee wellness is an important priority for our organization. As a result, we offer an array of employee benefits, including but not limited to:
* Affordable HDHP employee and family health insurance plan
* Dental plan
* Vision plan
* Flexible Spending Account
* Health Savings Account with company match
* 401k retirement plans with company match
* Basic life insurance
* Short and long term disability plans
* Paid time off
* Volunteer paid time off
* Employee Assistance Program
* Added Perks!
* Free employee ski pass
* Tickets to shows at the Vilar and The Amp
* Discounts at The Amp and Vilar concessions
* Tuition reimbursement
Please send a cover letter, resume and references.
APPLY NOW BACK TO ALL EMPLOYMENT OPPORTUNITIES
Accepting resumes through March 1, 2025.
$24-26.5 hourly 8d ago
Manager of Healthcare Performance and Quality Improvement
Quest Diagnostics/Phenopath 4.4
Remote job
We Provide Solutions. Patients and Physicians rely on our diagnostic testing, information, and services to help them make better healthcare decisions. These are often serious decisions with far reaching consequences, and require sensitivity, tact, and a clear dedication to service. It's about providing clarity and hope.
The Healthcare Performance and Quality Improvement Manager provides education on Medicare's Quality Payment Program and specifically the Medicare Access and CHIP Reauthorization Act (MACRA) / Merit-based Incentive Payment System (MIPS) track to internal and external audiences. By leveraging expertise on the value of MACRA/MIPS, the Manager supports the field sales organization to achieve lab revenue growth.
This is a remote position with regular regional travel. Candidates living in NY/NJ are preferred.
Required Work Experience:
Five years' experience in a professional environment.
Outside/field sales experience preferably in the healthcare industry.
Preferred Work Experience:
Experience with health care quality improvement and working with quality metrics for the physician office care setting is highly preferred.
Prior medical billing/coding or medical assistant experience a plus
Software Experience: EHR, CRM, Microsoft Office Suite required. Experience with EMR is a strong plus.
Candidates living in NY/NJ are preferred
Knowledge:
Broad understanding of the laboratory business and its services
In depth understanding of Meaningful Use, MACRA, MIPS, PCMH and other regulatory programs
Skills:
Excellent interpersonal, customer service, listening and communication skills, including the ability to communicate complex issues clearly and concisely.
Ability to work in a team environment and collaborate with both internal and external customers.
Proven ability to use basic selling skills and techniques.
Demonstrated ability to manage a high volume of clients at any given time.
Excellent time management, project management, problem solving and organizational skills.
Positive and proactive approach to dynamic environments.
Willingness to perform other duties as assigned with a positive attitude.
Demonstrate integrity and a commitment to values of Quest Diagnostics
Provide leadership and assist clients with meeting the required measures for the regulatory programs
Organize and facilitate meetings/education sessions, including the creation of agendas and preparation of materials, and program collateral for internal and external audiences.
Provide on-site and remote support to assist eligible clinicians, as they transition to MACRA/MIPS Assist in the development and dissemination of MACRA/MIPS marketing and educational materials.
Identify areas where providers are not meeting the requirements for the program and make recommendations for changes in order to meet the measures
Review client reports to assess compliance with the specific measures for the regulatory programs
Train clients and internal staff on existing programs and any changes to regulatory programs
Educate clients on self-reporting requirements as well establishing contact with our 3rd party vendor partner as appropriate
Develop trusted relationships by demonstrating a deep understanding of MIPS requirements and client's business needs and expectations. Develop a consultative and advisory relationship with key customers
Keep abreast of industry news affecting client's performance & quality improvement efforts.
Ensure total compliance with all company policies and government regulations. Maintains required documentation.
Manage other projects/responsibilities as assigned by Manager.
$84k-111k yearly est. Auto-Apply 25d ago
Quality Management Specialist (Remote NC)
Vaya Health 3.7
Remote job
LOCATION: Remote - preference for incumbents that live in North Carolina or within 40 miles of the NC border. This position requires travel as needed.
GENERAL STATEMENT OF JOB
Under the supervision of the Customer Service Quality Manager, the Quality Management Specialist resolves member and provider grievances/complaints, processes incident reports, conducts Unlicensed Alternative Living Site Reviews, assists with Home and Community Based Service (HCBS) Assessments, assists with NC Treatment Outcomes and Program Performance System (NC TOPPS) Surveys, completes any needed health/safety site visits and completes provider investigations as requested for Quality Management.
The position is responsible for resolving grievances and complaints received by Vaya Health by or on behalf of any member/recipient who is dissatisfied with a Vaya contracted provider, a Vaya employee, or any aspect of Vaya or it's service delivery system. This is accomplished by processing complaint and grievance reports, coordinating resources, and communicating with all relevant parties throughout the grievance/complaint resolution process in a manner that is timely, thorough, fair, impartial, consistent, and compliant with applicable laws, rules and regulations. The position is responsible for ensuring all regulatory and accrediting guidelines/requirements are upheld throughout the resolution process.
The position is responsible for reviewing incidents submitted into the Incident Response Improvement System (IRIS), Back-up staffing reports, and QM-11 reports submitted by providers in Vaya's network. The position provides technical assistance and support to ensure all reporting requirements are met related to incidents and may include document preparation, records requests and meeting facilitation. In addition, the position monitors Provider sites within the Vaya Health provider network receiving reimbursement for service provision under Medicaid, the Innovations waiver, and state funding. The position monitors the remediation of areas of non-compliance to ensure adherence to all applicable rules, regulations, and best practice models and to ensure the health and safety of persons receiving services. This position will also provide back up oversight and suport to NC TOPPS and HCBS activities when the designated primary staff person is out on leave. The position will also complete any investigations or health/safety reviews as assigned. The individual must be knowledgeable about Vaya's internal processes as well as providers, services, and stakeholders throughout the public behavioral health and intellectual/ developmental disabilities (IDD) system.
ESSENTIAL JOB FUNCTIONS
Grievance, Complaint, Incident, Health & Safety Response and Reviews:
This position will support Provider Quality Operations and Customer Service Quality. Support of these operations may be accomplished through various activities like those listed below, and although day to day work may include activities related to these items this is not a limited list. At the manager's and director's discretion activities may be divided among the incumbents which may lead to some incumbents completing some of these tasks more than others, but all incumbents must be cross trained and able to complete all items. Activities may include, but are not limited to:
Member/Recipient/Provider Grievance/Complaint Resolution
The incumbent is responsible for managing assigned complaints and grievances by ensuring the concern of the individual is properly acknowledged, documented, and addressed to work toward informal resolution by:
Answering questions from members, recipients, stakeholders, or others about the complaint/grievance process
Timely resolving complaints and grievances through the following activities:
Phone interviews with the filer and person(s) who have a legitimate role in the issue to be resolved (i.e. staff, legal guardians, providers, care managers, etc.). to obtain additional information or clarification;
Consultation with Vaya staff, licensed clinicians, and subject matter experts
Provider record/information request and record review
Maintain timely responses to inquiries regarding grievances and complaints
Provide recommendations and direction to both service providers and members in an attempt to eliminate repeated grievances of a similar nature
Provide feedback to providers regarding written responses to grievances and complaints
Recognize grievances and complaints that include health and safety issues that need to be immediately addressed by accurately depicting the situation in a case staffing to the CMO
Recognize health and safety issues may require investigation including; but not limited to, an on-site review to ensure any Vaya members in service locations are safe.
Incident Report Review, Tracking and Technical Assistance
The incumbent reviews incident reports from all Vaya provider agencies within the catchment area and incident reports from provider agencies that have Vaya enrollees who receive services outside Vaya's catchment area. IRIS is a mandated electronic system for provider and LME/MCO to document the occurrence of Level II and III incidents. Incident review and response includes the following:
Ensure the incident report is complete and has accurate information, request any additional or missing information
Evaluate the cause/prevention section and provide technical assistance to the provider when standards for future prevention are not met
Evaluate the likeliness that the incident will be in the media and alert the CMO
Tracking and trending of incidents; report any trends of concern to CIRC. In addition, this position is also responsible for completing the following incident report related activities:
Track and trend back-up staffing reports and compile and prepare data for quarterly reporting as needed
Track and trend QM-11 (level 1 incident) reports
Health/Safety Reviews including any Site Review
Monitoring activities for AFL Site Reviews
Use a standardized tool (checklist) for initial AFL site reviews and annually thereafter
Ensure the site has met HCBS standards and approval
Medication review
Review the site for Health and Safety concerns that are specific to the member/recipient
Inform/educate the Provider about Vaya procedures for monitoring of existing and new AFL homes
Completion and delivery of all written findings to the Provider, and follow up on all deficiencies
Assess sites for health/safety when required from grievances/complaints as part of investigations
Investigations:
Assisting with On site investigations completed by any Quality Management Team
Complete assigned investigations related to grievances/complaints or health/safety requests
Complete Report of Findings
Complete Plans of Correction for Out of Compliance noted in Report of Findings
Communicate with Providers related to investigation and outcomes
Communicate with grievant/complainant/stakeholders as required for investigations
Additional Tasks:
Provide Backup to HCBS Provider Self-Assessment Review and Approval Process including:
Upon submission, process and ensure Provider Self-Assessments are complete, accurate and meet criteria for HCBS standards, provide information and technical assistance to providers in response to incorrect or missing information.
Provide Back up to NC TOPPS Activities to comply with state requirements including:
Respond to NC TOPPS email inquiries, answer questions from providers or provider staff about NC TOPPS requirements, provide technical assistance to providers or provider staff on NC TOPPS.
KNOWLEDGE OF JOB
Ability to develop practical, thorough, and creative solutions to complex problems
Ability to conduct data analysis and recognize trends is essential
Ability to effectively communicate trends within Vaya to address potentially serious issues is required
Ability to actively listen to grievances and complaints while maintaining a positive outlook and attitude with members, co-workers, and stakeholders
Ability to work remotely (from home) with little supervision and function as a self-starter
Flexible worker who readily accepts assigned tasks, manages unfamiliar situations, and searches for every opportunity to help the team
Excellent time management skills, including the ability to manage competing priorities and to complete tasks in a timely and accurate manner
Highly productive and motivated individual who takes pride in a job well done, demonstrates initiative and is committed to self-accountability
Strong attention to detail and extreme precision and accuracy
Ability to work collaboratively with individuals at all levels and with varying backgrounds both within and outside of Vaya and build strong working relationships
Strong organizational skills with the ability to multi-task
Ability to manage constant transformation and adapt to changing mandates from regulatory authorities as well as Vaya executive leadership
Ability to maintain the confidentiality of sensitive information in accordance with applicable laws, policies, rules and regulations
Ability to problem-solve and provide practical, thorough, and creative solutions to work tasks
Ability to learn, interpret independently, and apply a variety of complex policies and procedures
Good working knowledge and proficiency in Adobe and Microsoft Office 365 products (Word, Excel, Outlook, PowerPoint, Teams, Visio, SharePoint, etc.)
Familiarity with Navex software products (PolicyTech, EthicsPoint) a plus
Thorough knowledge of how to use standard office equipment, including printers, scanners, and fax machines
Knowledge of North Carolina's public behavioral health and I/DD system, including Vaya providers, services, and stakeholders, preferred
Ability to work independently is essential
Ability to research multiple Electronic Records Systems -Ability to understand claims data
Ability to understand both physical and behavioral health diagnoses
Ability to synthesize information gathered in the grievance process to write a succinct resolution letter
Ability to interact with team while performing grievance resolution lead duties in a respectful manner
Ability to use critical thinking skills, work independently with little or no direction, demonstrate initiative, and function as a self-starter
Ability to develop practical, thorough, and creative solutions to complex problems
EDUCATION & EXPERIENCE REQUIREMENTS
High school diploma or GED required. Bachelor's degree in a Human Services field preferred. Must have
A minimum of two years of experience in quality management, data collection and analysis is required, preferably within a behavioral health organization
OR
a minimum of two years of experience providing care and/or customer service in an acute care, physical health, physician and/or hospital setting.
The Tailored Plan does not require NC Residency for this role; however, it is the preference of Vaya and the Quality Management department that incumbents of this role fall within the guidelines of NC Residency Requirement per the Tailored Plan and reside in North Carolina or resides within 40 miles of the North Carolina border.
Preferred work experience:
Meeting the requirements of being a Qualified Professional per 10A NCAC 27G .0104 preferred.
Preferred licensure/certification:
National Certified Investigator & Inspector Training and Certification is preferred.
PHYSICAL REQUIREMENTS
Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.
Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers.
Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.
Mental concentration is required in all aspects of work.
RESIDENCY REQUIREMENT: Prefer incumbent reside in North Carolina or within 40 miles of the North Carolina border.
SALARY: Depending on qualifications & experience of candidate. This position is non-exempt and is eligible for overtime compensation.
DEADLINE FOR APPLICATION: Open until filled
APPLY: Vaya Health accepts online applications in our Career Center, please visit ******************************************
Vaya Health is an equal opportunity employer.
$40k-53k yearly est. Auto-Apply 38d ago
Immigrants' Rights Center (IRC) Grant Coordinator
Cair La
Remote job
Term: Full-time, occasional evening and weekends required
Position Status: Non-Exempt, full-time, from hire date to October 31, 2026. Extension of the position beyond October 31, 2026, is possible contingent upon continued funding.
Pay Range: $28 to $33 per hour commensurate with experience.
Reports to: Senior Managing Attorney
Generous Benefits: 100% employer-paid medical and dental insurance for employees & dependents, 401(k) plan with an employer match, 12 vacation days, 10 sick days, and 12 holidays, hybrid work schedule utilized temporarily with three days in the office and two days of remote work.
Requirements: Must have access to reliable transportation
About Us: Join the largest American Muslim civil rights organization at the frontlines in protecting the rights of free speech, to freely practice one's faith, to pursue employment opportunities without harassment, and to live as an active and engaged American without reprisal. The Council on American-Islamic Relations, California (CAIR-CA) is a nonprofit 501(c)(3), grassroots civil rights and advocacy group. We recognize that our employees are passionate, and talented and are our most valuable resource. With such an important vision to be a leading advocate for justice and mutual understanding, our diverse workforce stands together to demonstrate our values for everyone who chooses to join the efforts.
About the Role: CAIR-CA provides legal immigration services to refugees, asylum seekers, and the diverse immigrant community in California. The Immigrants' Rights Center (IRC) Grant Coordinator is primarily responsible for assisting the grant manager with the management and organization of various IRC grants to ensure compliance with grant deliverables and reporting. An ideal candidate for this position will possess grant management, grant writing, grant financial management, and grant reporting experience.
DUTIES AND RESPONSIBILITIES
Grant Compliance, Oversight, and Management
Support IRC's compliance with grant requirements and reporting obligations.
Monitor IRC grant progress and ensure adherence to timelines and deliverables.
Maintain systems to track grant deliverables, deadlines, and reporting obligations.
Coordinate with CAIR-LA and CAIR-CA Finance and Institutional Giving teams to ensure internal IRC tracking of grant expenditures and appropriate spend down of grant funds.
Assist with maintaining accurate data collection to ensure quality and consistency for reports and evaluations.
Maintain internal reporting tools and dashboards for leadership to monitor progress on grant goals.
Maintain accurate and organized records related to grant activities and subgrantees.
Coordinate with CAIR-CA and CAIR-LA's Finance, Development/and Institutional Giving teams on all IRC grants.
Assist and coordinate with the development department to update IRC grant progress.
Coordinate meetings and events with subgrantees, government agencies, foundations, grantors, and community partners.
Assist with providing technical assistance and general correspondence to subgrantees.
Represent the IRC in funder meetings, site visits, and compliance reviews.
All CAIR-CA staff are required to help with fundraising efforts as required.
CAIR-CA staff may be required to attend some weekend or weekday evening events.
Other duties as assigned.
REQUIRED QUALIFICATIONS
Associate degree in nonprofit management, public administration, social sciences, finance, or related field, or equivalent relevant experience.
One year of experience in grant management, compliance, or program administration.
Demonstrated success in working with government (federal, state, or local) and foundation grants.
Understanding of grant compliance requirements, reporting standards, and budget oversight.
Familiarity with grant programs and case management systems.
Experience with data entry and preparing grant reports.
Demonstrated experience working with individuals from diverse cultural and socio-economic backgrounds is preferred.
Proficiency in Microsoft Office Suite (e.g. Word, Excel, Outlook, PowerPoint).
Working knowledge of SharePoint
Excellent organizational and time management skills with strong attention to detail.
Outstanding verbal and written communication skills.
High level of professional integrity and ability to maintain confidentiality of sensitive information.
Strong ability to manage multiple tasks, meet deadlines, and adapt in a fast-paced environment.
Ability to work independently, be flexible, and work well under pressure in a fast-paced team environment.
Ability to interface with organization partners, community members, clients, and potential clients with a high degree of professionalism, empathy, and cultural sensitivity.
Demonstrated accountability, initiative, and receptiveness to direction and feedback.
A strong commitment to civil rights and CAIR's mission.
PREFERRED QUALIFICATIONS
Bachelor's degree in nonprofit management, public administration, social sciences, or related field, or equivalent relevant experience is preferred.
Experience in working with nonprofit organization that provides immigration legal services or other types of services to the immigrant and refugee community is preferred.
Strong aptitude for technology and ability to quickly learn new tools and systems.
Multilingual skills are preferred. (Spanish, Arabic, Farsi, or other languages spoken in immigrant communities).
TO APPLY
Please upload your (1) resume (2) cover letter, (3) and 3 references
CAIR-CA is an equal opportunity employer and adheres to all federal, state, and local laws prohibiting employment discrimination.
$28-33 hourly 5d ago
Contract Coordinator and Physician Liaison
Healing Solutions 4.2
Remote job
As industry-leading wound care providers, Healing Partners propel standard Skilled Nursing Facility wound care to a completely different level. Our multifaceted approach relieves various burdens - clinical, operational, financial, and practical - from busy owners, administrators, and employees, freeing each staff member to focus optimally on his or her responsibilities and improve overall facility management.
BENEFITS OF WORKING WITH HEALING PARTNERS:
Competitive salary/rate
Monday-Friday day schedule
Benefits: Medical, Dental, Vision, eligible on 1
st
day of month following start date
Employee Assistance Program (EAP)
Health Savings Account (HSA)
Dependent Care FSA
401k, Short Term/Long Term disability and life insurance
Tuition Reimbursement
Discount Programs
Contract Coordinator & Collaborating Physician Liaison Job Responsibilities:
The Contract Coordinator & Collaborating Physician Liaison plays a vital administrative role in supporting the Company's clinical and operational teams. This position serves as the primary liaison for collaborating physicians, ensuring seamless communication, efficient onboarding and offboarding, and ongoing compliance with program requirements. In addition to physician support, the role includes contract preparation, tracking, and file management in coordination with the Contract and Business Development department. Success in this role requires strong organizational skills, attention to detail, and the ability to manage multiple administrative functions across departments.
Contract Administration
Draft, format, and manage various contracts including Service Agreements, Business Associate Agreements (BAAs), vendor contracts, Affiliation Agreements, and Collaborative Practice Agreements (CPAs) using approved templates.
Coordinate contract execution by tracking edits, circulating documents, and ensuring timely completion.
Maintain organized electronic records, tracking sheets, and CRM/CLM systems for all executed contracts.
Collaborate with Divisional Directors, Client Onboarding Manager, and Business Development team to ensure contract compliance and smooth client transitions.
Collaborating Physician Liaison
Serve as the primary administrative contact for collaborating physicians, ensuring consistent support and communication.
Manage onboarding/offboarding processes, training coordination, chart review tracking, insurance updates, and roster maintenance.
Maintain and update the Collaborating Physician Handbook and related documentation.
Prepare CPAs based on new hire alerts and specific requests using standardized templates.
Monitor chart review deadlines and send timely reminders to collaborators.
Maintain credentialing and collaboration documentation in the HUB with standardized naming conventions.
Communicate with the Invoicing team regarding collaborating physician payments.
Implement and monitor state-specific quality assurance requirements.
Stay current with prescriptive authority regulations for Nurse Practitioners in each practicing state.
Update CPA templates with current state requirements and physician information.
Coordinate with the Credentialing department to ensure timely execution of CPAs for provider integration.
Cross-Departmental Coordination and Support
Provide support to Credentialing team, Collaborating Physicians, Medical Director, and client implementation team as needed.
Collaborate with invoicing to ensure timely and accurate payment of Collaborating Physicians.
Process & Continuous Improvement
Maintain standardized contract templates and clause libraries.
Identify workflow efficiencies and propose system/process improvements.
Contract Coordinator & Collaborating Physician Liaison Qualifications and Requirements:
Bachelor's degree or equivalent experience (minimum four years in a related a health-related, administrative or legal support role) preferred
Effective and exceptional written and verbal communication skills, with the ability to convey complex information clearly and professionally across diverse teams and stakeholders.
Effective interpersonal skills and proactive approach to problem-solving.
Strong understanding of contract language and document handling.
Excellent organizational and file management skills.
High attention to detail and ability to manage multiple priorities.
Proficiency in digital tools for document tracking and communication.
Experience in health care industry.
Tech-savvy, with the ability to quickly learn and adapt to new systems.
Working knowledge of HIPAA regulations and Business Associate Agreements (BAAs).
Physical Requirements
:
Ability to sit, use a computer, and communicate via phone for extended periods.
Regular, predictable attendance.
Remote work with occasional in-office presence based on business needs or manager discretion.
Work Environment:
The job duties and functions for this position are performed remotely with a requirement for onsite work on an as needed basis, dictated by business needs and/or manager discretion.
Job Type: Full-time
Salary: $58,000-62,000
Schedule:
Day shift
Monday to Friday
Weekend and night On-Call
Work Location: Remote with possible travel to Company Events
Healing Partners provides equal employment opportunities to all employees and applicants for employment without regard to race, color, ancestry, national origin, gender, sexual orientation, marital status, religion, age, disability, gender identity, results of genetic testing, or service in the military. Equal employment opportunity applies to all terms and conditions of employment, including hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation, and training.
$58k-62k yearly Auto-Apply 60d+ ago
Grants Coordinator - Hybrid or Remote
Calm 4.2
Remote job
Full-time Description
About Us:
Founded in 1970, CALM is a community-based mental health agency serving Santa Barbara County with a mission to prevent childhood trauma, heal children and families, and build resilient communities.
Our team of CALM staff and dedicated volunteers share a vision of supporting every family in our community so that every child thrives.
CALM's guiding principles are:
Clinical Excellence | All-in Approach | Leading the Way | Meaningful Relationships
Work for a mission driven organization committed to transparency, collaboration, and communication. Our values are at the heart of what we do.
Why CALM?
It's an amazing time to join us as CALM was just awarded a substantial $694,000 grant from the Department of Health Care Services to implement and scale Child Parent Psychotherapy (CPP) across Santa Barbara County! This exciting opportunity affords CALM the resources to establish an 18-month learning collaborative for up to 18 therapists with dedicated time for training, consultation, and implementation of CPP and the ability to hire and train a new Clinical Supervisor in this modality and CALM's other evidence-based practices.
What is Child Parent Psychotherapy? CPP is an intervention model for children aged 0-5 who have experienced at least one traumatic event (e.g. maltreatment, the sudden or traumatic death of someone close, a serious accident, sexual abuse, exposure to domestic violence) and/or are experiencing mental health, attachment, and/or behavioral problems, including posttraumatic stress disorder (PTSD).
This position can be hybrid, working in our Santa Barbara office or remote.
The hybrid or remote Grants Coordinator researches, authors, and coordinates all phases of government, corporate and private grant applications and reports, and manages all grant-related activities. Under the direction of the Director of Development, the Grants Coordinator determines the calendar and financial goals of the annual grants cycle.
Major responsibilities:
Identify, prepare and submit funding applications and grant proposals.
Prepare and submit funding reports and audit requirements for government grants and private foundations.
Attend bidders' conferences and grant information sessions countywide.
Oversee a comprehensive calendar for all grant-related activities, with support from the Development Coordinator.
Lead the development of forward-thinking, organization-wide grant strategies in close partnership with clinical leadership.
Coordinate project management of the grant process, integrating input across diverse stakeholders.
Maintain organized computer/manual files for all grants and reports.
Investigate new public and private funding sources that match the goals and objectives of CALM, including state and federal opportunities.
Write grant narratives and proposal elements in collaboration with internal and external program stakeholders.
Provide content to support government contracts and reports overseen by the clinical department.
Collaborate with clinical and continuous quality improvement (CQI) staff to ensure accurate representation of programs and activities in grant proposals and reports.
Serve as the staff liaison to the volunteer Foundation Strategy work group.
Requirements
Education and/or Experience:
BA/BS degree in related field from an accredited university or college, plus 3 years administrative or development experience or AA degree, plus 5 years administrative or development experience
Experience with grant or other persuasive writing, preferably with a background in mental health or healthcare
Experience with government policy and grant writing is preferred
Qualifications:
Strong commitment to CALM's mission, vision, and strategic plan
Strong commitment to diversity, equity, and inclusion
Must have respect for confidentiality; ability to work with discretion and integrity
Strong computer skills, including Microsoft office and web-based systems. Proficient in use of Zoom. Able to adapt to using various types of software ????
Excellent written communication skills
Strong oral communication and customer service skills for interaction with staff, funders/donors, donor prospects, volunteers, and others
Ability to work in busy environment, under pressure, without compromising accuracy, attention to detail or courtesy to staff and others
Ability to prioritize competing responsibilities, with effective time management skills
Excellent knowledge of fundraising information sources
Ability to demonstrate mature judgment, initiative and critical thinking
Must have criminal record clearance from the DOJ
Physical Demands:
Prolonged periods sitting, listening, and observing or working on a computer
Stand, walk; sit; reach with hands and arms; balance, stoop, kneel, crouch or crawl
Lift and /or move up to 20 pounds at times
CALM Benefits:
Benefits:
Culture & Wellness Events
Schedule flexibility
100% Employer sponsored Life Insurance ($50,000 flat)
100% Employer sponsored Medical/Dental/Vision Insurance for Employees
60% Employer sponsored Medical/Dental/Vision Insurance for Dependents
403(b) Retirement Plan with a 3% Match, increasing to 5% after 7 years
Student Loan Repayment Opportunities of up to $50,000 per year
AD&D, Long-Term Disability and Voluntary Benefits
Medical and Dependent Care FSA
Employee Assistance Plan that provides access to mental health, legal, and financial resources
Monthly Data Stipend of $35
Benefits opt-out stipend of $5,400/year
10 days of PTO for 1st year of service, increasing each year and 80 hours of sick leave
13 Paid Holidays
Compensation:
CALM is committed to being an “employer of choice” and strives to recruit and retain qualified, high performing employees committed to our mission. Competitive compensation that rewards excellent performance is integral to this goal. CALM's compensation program is designed to be externally competitive, internally equitable, and financially sustainable. CALM regards compensation holistically and considers wages, benefits, a supportive and positive work environment, staff wellness, on-going professional development, and work-life balance all critical aspects of our total rewards program.
The salary range for this role is $29 -$39/hour
The salary range provided denotes the minimum and maximum rates applicable to the position. Factors influencing the placement of newly hired employees within this range include their specific skills, qualifications, relevant experience, and comparison with existing employees in similar roles. Typically, newly hired employees are positioned below the midpoint of the salary range.
To Apply:
Qualified, interested candidates are asked to submit a resume and cover letter.
We participate in E-Verify.
Salary Description $29 to $39 per hour
$29-39 hourly 35d ago
Industrial Contracts Coordinator
Stanford University 4.5
Remote job
SCHOOL/UNIT DESCRIPTION: The Industrial Contracts Office (ICO) is a unit within the Office of Technology Licensing, Stanford's technology transfer office. OTL evaluates, markets and licenses technology created by the university. ICO is responsible for reviewing, negotiating, and signing a variety of research-related agreements on behalf of Stanford with industry and some non-profit collaborators, including sponsored research, material transfer, and equipment loan agreements. ICO Contract Officers have authority to sign research-related agreements on behalf of Stanford University and ensure that all agreements comply with Stanford policy, sound business practice, and legal requirements. ICO works closely with the OTL Licensing Team to ensure that Stanford's intellectual property are protected and developed to serve the public interest.
Our VPDoR Diversity Journey:
* We create a hub of innovation through the power of diversity of disciplines and people.
* We provide equitable access and opportunity to all members of the community in order to do their best work, regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law.
* We listen to and value all colleagues who bring diverse perspectives to the advancement and development of a respectful community.
* We promote a culture of belonging, equity, and safety.
* We embed these values in excellence of education, research, and operation.
POSITION SUMMARY:
The Office of Technology Licensing's Industrial Contracts Office is seeking a dynamic Industrial Contracts Coordinator to drive successful partnerships and innovative solutions for our faculty within Stanford's vibrant landscape. In this pivotal role, you will ensure the completion, accuracy, and compliance of proposals, while formally soliciting grants and contracts from non-government sponsors. Your expertise will be key in managing requisitions and overseeing the requisition receipt process. Additionally, you will provide regular status updates, interpret policy provisions, resolve project issues, and educate units on institutional processes. If you have a passion for project management and a knack for managing the contracting lifecycle, join us and be a catalyst for innovation at Stanford.
This is a 100% FTE, benefits-eligible remote position. For consideration, please submit your resume. All final candidates must complete a background check.
CORE DUTIES:
* Review proposals for completion, accuracy, and compliance with internal policy and external regulations.
* Conduct formal solicitation of grants and contracts by government and non- government sponsors.
* Accept standard grant awards on behalf of the university.
* Administer requisition receipt process; review requisitions for accuracy and completion.
* Prepare and negotiate select agreements for management approval.
* Check contracts and grants for special provisions.
* Collect, obtain, and ensure completion of required sub recipient documentation.
* Provide regular status updates to managers and project administrators.
* Assist department administrators, principal investigators, and staff; interpret and explain grant provisions and terms.
* Assist in the resolution of problems arising in the course of the project; consult with department administrators, principal investigators, staff, and sponsors.
* Partner with others to serve as a resource to educate units regarding institutional processes.
* - Other duties may also be assigned
MINIMUM REQUIREMENTS:
Education & Experience:
Bachelor's degree and one year of relevant experience, or combination of education and relevant experience.
Knowledge, Skills and Abilities:
* Basic knowledge of grant and contract programs and processes.
* Excellent communication and interpersonal skills.
* Strong attention to detail.
* Excellent judgment to know when to escalate unusual cases to more experienced colleagues
* Proven ability to manage a high volume workload and a multitude of constantly changing priorities in a fast-paced environment
* Demonstrated ability to take initiative, prioritize workload, follow up with key stakeholders, meet deadlines and work both independently and as an effective member of a team
PHYSICAL REQUIREMENTS*:
* Frequently sitting, grasping lightly, use fine manipulation and a computer (keyboard, mouse, monitor).
* Occasionally use a telephone, rarely stand/walk, twist, bend, stoop, squat, write by hand, sort, and file paperwork or parts.
* Rarely lift, carry push, and pull objects that weigh up to 10 pounds.
* - Consistent with its obligations under the law, the University will provide reasonable accommodation to any employee with a disability who requires accommodation to perform the essential functions of the job.
WORKING CONDITIONS:
* May have occasional extended or weekend work hours during peak business cycles.
WORK STANDARDS:
* Interpersonal Skills: Demonstrates the ability to work well with Stanford colleagues and clients and with external organizations.
* Promote Culture of Safety: Demonstrates commitment to personal responsibility and value for safety; communicates safety concerns; uses and promotes safe behaviors based on training and lessons learned.
* Subject to and expected to comply with all applicable University policies and procedures, including but not limited to the personnel policies and other policies found in the University's Administrative Guide, *******************************
This role is open to candidates anywhere in the United States. Stanford University has five Regional Pay Structures. The compensation for this position will be based on the location of the successful candidate.
The expected pay range for this position is $81,281-$92,099 for remote positions working in the Stanford Work Location Region.
The expected pay range for this position is $61,398 - $77,493 for remote positions outside of the Stanford Work Location Region.
Stanford University provides pay ranges representing its good faith estimate of what the university reasonably expects to pay for a position. The pay offered to a selected candidate will be determined based on a wide range of factors that are unique to each candidate including but not limited to geographic location, knowledge, skills and abilities, relevant education, depth and breadth of experience, performance; as well as other business and organization needs such as (but not limited to) the scope and responsibilities of the position, the minimum qualifications, departmental budget availability, and market and internal equity across the unit, department and reporting relationships.
At Stanford University, base pay represents only one aspect of the comprehensive rewards package. The Cardinal at Work website (***************************************************** provides detailed information on Stanford's extensive range of benefits and rewards offered to employees. Specifics about the rewards package for this position may be discussed during the hiring process.
Why Stanford is for You
Imagine a world without search engines or social platforms. Consider lives saved through first-ever organ transplants and research to cure illnesses. Stanford University has revolutionized the way we live and enrich the world. Supporting this mission is our diverse and dedicated 17,000 staff. We seek talent driven to impact the future of our legacy. Our culture and unique perks empower you with:
* Freedom to grow. We offer career development programs, tuition reimbursement, or audit a course. Join a TedTalk, film screening, or listen to a renowned author or global leader speak.
* A caring culture. We provide superb retirement plans, generous time-off, and family care resources.
* A healthier you. Climb our rock wall, or choose from hundreds of health or fitness classes at our world-class exercise facilities. We also provide excellent health care benefits.
* Discovery and fun. Stroll through historic sculptures, trails, and museums.
* Enviable resources. Enjoy free commuter programs, ridesharing incentives, discounts and more!
The job duties listed are typical examples of work performed by positions in this job classification and are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Specific duties and responsibilities may vary depending on department or program needs without changing the general nature and scope of the job or level of responsibility. Employees may also perform other duties as assigned.
Consistent with its obligations under the law, the University will provide reasonable accommodations to applicants and employees with disabilities. Applicants requiring a reasonable accommodation for any part of the application or hiring process should contact Stanford University Human Resources by submitting a contact form.
Stanford is an equal employment opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law.
Additional Information
* Schedule: Full-time
* Job Code: 4571
* Employee Status: Regular
* Grade: F
* Requisition ID: 107593
* Work Arrangement : Remote Eligible
$81.3k-92.1k yearly 60d+ ago
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