Talent.com
STARS Quality Improvement Specialist Associate

STARS Quality Improvement Specialist Associate

Corewell HealthSouthfield, MI, US
1 day ago
Job type
  • Full-time
Job description

Associate Medicare Star Ratings Quality Improvement Specialist

This position is available for hire in our east or west regions. Must be able to come on site at least two times per week.

Job Summary

The Associate Medicare Star Ratings Quality Improvement Specialist will support the execution of quality improvement strategies and reporting requirements for Priority Health's Highly Integrated Dual Eligible Special Needs Plan (HIDE-SNP) contract. This role plays a key part in ensuring compliance with Michigan Department of Health and Human Services (MDHHS) and Centers for Medicare and Medicaid Services quality metrics and advancing CMS Star Ratings performance. The specialist will also manage and coordinate quality-related projects, collaborating across departments to drive measurable improvements in member outcomes and plan performance. Supports routine / fewer complex projects that are smaller in scope throughout the organization including both clinical and non-clinical areas to accomplish measurable quality improvement. Assists with analysis to measure the effectiveness of existing quality processes and helps to develop sustainable, repeatable, and quantifiable quality improvements.

Essential Functions

  • Supports and drives improvement activities for accountable areas based on organizational priorities (project management, measurable deliverables, milestones, and data informed strategy).
  • Serves as a liaison between various departments across the Corewell Health System. Communicates, collaborates, networks with and acts as a change agent to key stakeholders. Also ensures continuity and coordination of services with appropriate utilization of resources. Responsible for stakeholder management across collaboration within dept and organizational resources.
  • Drives continuous assessment and improvements using appropriate tools and methodology within the business, assists stakeholders and process owners in prioritizing improvement opportunities.
  • Beginner at improvement science to drive quality performance in regulatory, accreditation and publicly-reported programs.
  • Analyze, interpret, and communicate benchmarked quality data and trends to improve outcomes.
  • Continuously develops quality improvement knowledge and skills.
  • Support strategic quality goal setting to influence strategic priorities.

Qualifications

Required

  • Associate's degree or equivalent in a healthcare-related field
  • Preferred

  • Bachelor's degree or equivalent in a healthcare-related field
  • 1 year of relevant experience in quality improvement, performance improvement, project management, or a similar role
  • CRT - At least one certification from the Institute for Healthcare Improvement (IHI)
  • About Corewell Health

    As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

    How Corewell Health cares for you

    Comprehensive benefits package to meet your financial, health, and work / life balance goals.

    On-demand pay program powered by Payactiv

    Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

    Optional identity theft protection, home and auto insurance, pet insurance

    Traditional and Roth retirement options with service contribution and match savings

    Eligibility for benefits is determined by employment type and status

    Primary Location

    SITE - Priority Health - 1239 E Beltline - Grand Rapids

    Department Name

    PH - Quality - Medicare

    Employment Type

    Full time

    Shift

    Day (United States of America)

    Weekly Scheduled Hours

    40

    Hours of Work

    8 : 00 a.m. to 5 : 00 p.m.

    Days Worked

    Monday to Friday

    Weekend Frequency

    N / A

    Create a job alert for this search

    Quality Improvement Specialist • Southfield, MI, US

    Related jobs
    • Promoted
    Quality Assurance Specialist

    Quality Assurance Specialist

    VirtualVocationsWarren, Michigan, United States
    Full-time
    A company is looking for a Quality Assurance Specialist to provide real-time quality oversight during the FluMist / Fluenz Packaging operation. Key Responsibilities Perform AQL Sampling and inspecti...Show moreLast updated: 30+ days ago
    Quality Control Specialist - Rotating Shifts - Now Hiring!

    Quality Control Specialist - Rotating Shifts - Now Hiring!

    HenkelWarren, MI, United States
    Full-time
    At Henkel, you’ll be part of an organization that’s shaping the future through innovation, sustainability and collaboration. With our trusted brands like Persil®, ‘all®, Loctite®, Snuggle®, and Schw...Show moreLast updated: 3 days ago
    • Promoted
    Senior Quality Improvement Specialist

    Senior Quality Improvement Specialist

    VirtualVocationsWarren, Michigan, United States
    Full-time
    A company is looking for a Quality Improvement Specialist Senior who will coordinate regulatory, accreditation, clinical quality, and service improvement programs. Key Responsibilities Lead and ma...Show moreLast updated: 3 days ago
    • Promoted
    Quality Improvement Lead - Hybrid in Southfield, Michigan

    Quality Improvement Lead - Hybrid in Southfield, Michigan

    UnitedHealth GroupSouthfield, MI, United States
    Full-time
    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people ...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Quality Specialist -14199

    Quality Specialist -14199

    MEDA Engineering and Technical Servicess, LLCWindsor, ON, Canada
    Permanent
    Get AI-powered advice on this job and more exclusive features.We are recruiting an experienced.Must be willing and able to travel to the USA (0 - 20%), without restrictions, effective on the start ...Show moreLast updated: 10 hours ago
    • Promoted
    Quality Specialist - Validation

    Quality Specialist - Validation

    VirtualVocationsDetroit, Michigan, United States
    Full-time
    A company is looking for a Quality Specialist - Validation.Key Responsibilities : Assists in the development and compliance of cGMP operating procedures related to validation Facilitates validati...Show moreLast updated: 18 days ago
    • Promoted
    • New!
    Sr Quality Specialist, Systems

    Sr Quality Specialist, Systems

    Paladin Labs Inc.Rochester, MI, US
    Full-time
    Sr Quality Specialist, Systems page is loaded## Sr Quality Specialist, Systemslocations : Rochester, Michigantime type : Full timeposted on : Posted Todayjob requisition id : R002562We want the...Show moreLast updated: 12 hours ago
    • Promoted
    PMO Support Quality Specialist

    PMO Support Quality Specialist

    Datum Technologies GroupAuburn Hills, MI, US
    Full-time
    Project Quality Manager Specialist.Location : Auburn Hills, Michigan.Position Overview : The North America Cross Car Line organization is seeking a solutions-driven Project Quality Manager Specialist...Show moreLast updated: 3 days ago
    Senior Quality Specialist

    Senior Quality Specialist

    Lisi AutomotiveLivonia, MI, US
    Full-time
    Quick Apply
    Performs inspections and sets quality assurance testing models for analysis of raw materials, materials in process, and finished products. Essentiall Functions & Duties : .CMM programming, for new...Show moreLast updated: 9 days ago
    • Promoted
    Senior Process Quality Specialist

    Senior Process Quality Specialist

    Encore Capital GroupFranklin, MI, US
    Full-time
    Senior Process Quality Specialist.The Senior Process Quality Specialist is responsible for completing account level actions based on compliance, project and departmental needs.This role is also res...Show moreLast updated: 30+ days ago
    • Promoted
    Quality Specialist

    Quality Specialist

    KCM TechnicalWindsor, ON, Canada
    Permanent
    The Quality Specialist is responsible for developing and executing standardization of manufacturing quality enablers.The Quality Specialist expert must be a creative problem solver, proactive and s...Show moreLast updated: 3 days ago
    • Promoted
    Sr. Quality Manager

    Sr. Quality Manager

    AdientPlymouth, MI, US
    Full-time
    The Senior Quality Manager has direct responsibility for the execution of Quality deliverables for their assigned Business Group. They will be responsible for Customer Interface, Craftsmanship and W...Show moreLast updated: 30+ days ago
    Quality Control Specialist - Rotating Shifts

    Quality Control Specialist - Rotating Shifts

    HenkelWarren, MI, United States
    Full-time
    At Henkel, you’ll be part of an organization that’s shaping the future through innovation, sustainability and collaboration. With our trusted brands like Persil®, ‘all®, Loctite®, Snuggle®, and Schw...Show moreLast updated: 3 days ago
    Advanced Quality Engineer

    Advanced Quality Engineer

    Rebo Lighting & Electronics, LLCPlymouth, MI, US
    Full-time
    Quick Apply
    What’s most important to you? A fast-paced, dynamic workplace with good teamwork? Having autonomy to grow your career? Or making a meaningful impact? ...Show moreLast updated: 30+ days ago
    • Promoted
    Quality Systems Specialist

    Quality Systems Specialist

    VirtualVocationsWarren, Michigan, United States
    Full-time
    A company is looking for a CHI Quality Systems Specialist to support and enhance quality systems in a remote role.Key Responsibilities Collect, analyze, and report key quality metrics to support ...Show moreLast updated: 2 days ago
    • Promoted
    • New!
    Aerospace Freelance Quality Consultant

    Aerospace Freelance Quality Consultant

    RGBSIFraser, MI, US
    Full-time
    FAIR (First Article Inspection Report) creation.FAIR Report Elements / documentations.Years Experience in Aerospace Industry. We offer attractive, competitive compensation and benefits including, med...Show moreLast updated: 12 hours ago
    • Promoted
    Call Quality Specialist

    Call Quality Specialist

    UWMPontiac, MI, US
    Full-time
    A lot can be gained from an engaging phone conversation.It can build relationships, answer stirring questions and showcase exceptional client experience. As a CX Scoring Specialist at United Wholesa...Show moreLast updated: 30+ days ago
    • Promoted
    Sr Quality Specialist, Systems

    Sr Quality Specialist, Systems

    Endo PharmaceuticalsRochester, MI, US
    Full-time
    Senior Quality Specialist, Systems.The Senior Quality Specialist, Systems monitors, tracks, and trends Non-Conformances, CAPA, Complaints and other quality systems, assesses the risk level associat...Show moreLast updated: 30+ days ago