Quality Improvement Specialist

Overview

Opportunities for you! 

• Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek 

• Tuition reimbursement, education programs, and scholarships 

• Vacation time starts building on Day 1, and builds with your seniority 

• Free money toward retirement with a 403(b) and matching contributions 

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. 

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. 

Responsibilities

Under the direction of the Director, Provider Relations, the Quality Improvement (QI) Specialist supports healthcare quality initiatives by managing Annual Wellness Visits (AWV) and Health Effectiveness Data and Information Set (HEDIS) activities, analyzing performance data, and coordinating improvement efforts with internal teams and providers. This role monitors quality measures, identifies opportunities to enhance outcomes, and ensures compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), and state regulatory standards. The Specialist prepares reports and dashboards, conducts root cause analysis, facilitates provider education, and supports the execution of Quality Improvement Plans. Additional duties may be assigned.

Qualifications

Educationo Bachelor’s Degree in Healthcare Administration, Nursing, Public Health, Business, or a related field requiredo Equivalent combination of education and experience may be substituted for the Bachelor’s Degree requirement. Experienceo 3 years of experience working with HEDIS measures, Medicare Risk Adjustment, or related requiredo Experience interpreting technical data specifications, performing research, and applying critical thinking to quality related data required.o Demonstrated experience with EHR systems and data aggregator platforms; Quality metrics, performance monitoring, and reporting; and Project management within a healthcare or quality improvement environment required.

Disclaimers

• Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.