Quality improvement specialist vs contractor/consultant

Differences between quality improvement specialist and contractor/consultant duties and responsibilities

Quality improvement specialist example responsibilities.

• Manage action planning as it relates to the RCA process.
• Design, run, and manage the HEDIS data review process/claim encounters to ensure accuracy and integrity of data.
• Lead company-wide preparation for NCQA accreditation.
• Assist organization in achieving strategic quality/resource consumption goals and JCAHO accreditation.
• Design and manage an internal SharePoint site utilize compliance with RESPA guidelines
• Manage investigations using applicable methodology focuse on root cause analysis and CAPA identification / implementation.
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Contractor/consultant example responsibilities.

• Manage design and development of cloud-base billing application for streamlining payroll and invoicing, as well as offering real-time business analytics.
• Assist PMO in defining project scope, task and budget, collaborating closely with developers.
• Bill and provide appropriate documentation to submit reimbursement for services to appropriate insurance to include Medicaid, Medicare, etc.
• Motivate and ensure SME team member engagement in projects.
• Provide Linux server setup, documentation, and internal support.
• Develop and implement SQL store procedures and DTS packages to process client billing data.
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