Quality Assurance & Improvement Coordinator
The Role
What You Will Do
- Act as a clinical and operational partner in executing the QA strategy that drives member safety, service excellence, and regulatory readiness.
- Drive initiatives that align with organizational goals and compliance requirements, ensuring delivery of exceptional care.
- Coordinate day-to-day operations of the QA program, including planning, logistics, communications, and document management.
- Track quality metrics and Key Performance Indicators (KPIs). Compile and prepare recurring reports, dashboards, and data summaries.
- Develop and perform internal audits and analyze trends in quality indicators and identify opportunities for performance improvement.
- Maintain up-to-date knowledge of regulatory and accreditation requirements (e.g., NCQA, URAC, The Joint Commission, CMS, HIPAA).
- Assist in planning and implementing QI initiatives focused on member safety, service delivery, documentation accuracy, and provider and coach performance.
- Coordinate root cause analysis (RCA) efforts and monitor action plans related to quality events, member complaints, or sentinel incidents.
- Maintain accurate documentation of Quality Assurance / Quality Improvement Committee activities including committee minutes, training records, investigations, and improvement plans.
- Collaborate cross-functionally with clinical, operational, and administrative teams to promote a culture of quality.
- Partners with teams to align compliance with the company's objectives, policies, procedures, and clinical practice guidelines.
- Acts as a role model for excellence in care and shows a high degree of professionalism.
- Communicates and presents information effectively and participates in multidisciplinary project activities and meetings with groups and/or individuals within all levels of staff and leadership.
- Assists in preparing for regulatory surveys and supports with immediately correcting problems noted by surveyors.
- Performs additional tasks and projects as needed to support the evolving needs of the Care team’s objectives and company goals.
Who You Are
- Clinically knowledgeable and comfortable engaging with licensed healthcare professionals and clinical data.
- Able to apply clinical expertise to quality and safety investigations, RCA, and documentation audits.
- Takes ownership of challenges, proactively identifies inefficiencies, and drives cross-functional solutions.
- Thrives in a role that bridges operations, clinical insight, and strategic planning.
- Demonstrates organization, facilitation, communication, problem-solving, and presentation skills.
- Communicates and collaborates with others using good interpersonal skills and projects a positive, professional demeanor through verbal and written communication.
- Participates in continuous quality improvement (CQI) activities and initiatives.
- Demonstrates initiative by proactively diagnosing, escalating, and resolving problems related to care delivery and within scope of their role.
- Has the ability to identify and use organizational resources, such as platforms, dashboards, and people to get work done efficiently.
- Enjoys building cross-collaborative relationships with staff in other areas of the business.
- Embraces change with adaptability, resilience, and a growth-oriented mindset, driven by a commitment to the mission.
What You Bring
- Bachelor’s degree in Nursing, Social Work, Counseling, Public Health, Healthcare Administration, or a related field required
- Active clinical license (e.g., RN, LCSW, LPC, LMFT, etc.) strongly preferred
- 2–3 years of experience in healthcare quality, clinical performance improvement, or regulatory compliance
- Strong clinical judgment and understanding of healthcare operations, risk, and supporting safe care delivery
- Proficient with EHR platforms, quality dashboards, and audit tools
- Able to synthesize data into actionable insights and recommendations
- Familiarity with quality improvement frameworks (e.g., PDSA, LEAN, Six Sigma) and accreditation readiness
- High proficiency in Google Workspace (Docs, Sheets, Slides) and comfort creating forms, reports, and presentations
- Highly organized and excellent communicator
- Ability to manage multiple priorities and resolve quality related issues independently
Benefits + Perks
- Paid Company Holidays + No work on your birthday!
- Flexible PTO + Volunteer Time Off (VTO) as an organization to give back to the community
- Variable bonus eligibility on a quarterly basis
- Company-sponsored Health Insurance (Medical, Dental, Vision) + Pet Insurance
- Company-paid group Life Insurance + Company-paid Short Term Disability
- Concierge benefit support services
- 401(k) with employer match
- Free access to TimelyCare virtual medical and mental health support
- Mission-Driven Purpose with a Supportive Team Culture
Originally posted on Himalayas
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