Quality and Process Improvement Specialist (52570)

Health Solutions is a premier wellness center focused on whole person care. With over 400 employees in Southern Colorado, you would be joining a mighty team of support and administrative staff, clinicians, physicians, nurses, and others in our efforts to improve the health and wellbeing of our community.

We’re hiring a full-time Quality and Process Improvement Specialist to join our Quality and Compliance group located at 41 Montebello Pueblo, CO 81001.

What You’ll Be Doing

Under the supervision of the Vice President of Quality Improvement and Process Improvement, the Quality and Process Improvement Specialist leads agency-wide initiatives to enhance clinical and operational performance. This role applies evidence-based quality improvement methodologies to optimize workflows, ensure regulatory compliance, and support audit readiness and performance reporting. The specialist collaborates across departments to improve care delivery in both primary care and behavioral health settings, promoting integrated care best practices and fostering a culture of continuous improvement.

RESPONSIBILITIES:  The Quality and Process Improvement Specialist drives agency-wide efforts to enhance both clinical and operational performance. This role applies proven quality improvement methodologies—such as PDSA, Lean/Six Sigma, and IHI approaches—to optimize workflows, ensure regulatory compliance, support audit readiness, and contribute to performance reporting. The specialist collaborates across departments to improve care delivery in primary care and behavioral health settings, while fostering a culture of continuous improvement throughout the organization.

• Lead quality improvement initiatives using frameworks such as PDSA, Lean/Six Sigma, or IHI methods to achieve measurable outcomes and process enhancements.
• Track and report on clinical quality measures, including HEDIS, CCBHC, eCQMs, and UDS, utilizing data analysis to drive informed decision-making.
• Collaborate with interdisciplinary teams to continuously improve care delivery and implement best practices in both primary care and behavioral health environments.
• Ensure ongoing compliance with RAE/BHASO and state regulations, including Behavioral Health Administration (BHA) and Health Care Policy and Financing (HCPF) requirements.
• Conduct root cause analyses (RCA) and develop corrective action plans in response to identified issues or process gaps.
• Validate electronic health record (EHR) data integrity and accuracy through systematic documentation audits and technical reviews.
• Support organizational accreditation and grant reporting efforts, such as PCMH, NCQA, and HRSA, by preparing and submitting required documentation.
• Deliver comprehensive education and training for staff on Quality Improvement tools, coding and documentation best practices, and evidence-based methodologies in accordance with regulatory and funding standards.
• Facilitate process improvement projects and drive continuous improvement by identifying opportunities for innovation and ensuring deliverables are me