Talent.com
Quality Outreach Specialist

Quality Outreach Specialist

Blue Cross of IdahoMeridian, ID, US
4 days ago
Job type
  • Full-time
Job description

Quality Outreach Specialist

The Quality Outreach Specialist (QOS) plays a key role in advancing healthcare quality across Idaho by partnering with providers statewide to improve HEDIS performance and outcomes. This role facilitates collaborative plan-provider meetings focused on joint problem-solving, process enhancement, and the development of targeted initiatives to elevate care quality and member health outcomes. The QOS also works cross-functionally with internal teams to design and implement strategies that support both providers and members, ensuring alignment with organizational goals and regulatory standards.

We're Looking For A Quality Outreach Specialist With :

  • Experience : 3 years' of experience in healthcare quality improvement, provider relations or provider practice operations
  • Education : Bachelor's Degree or equivalent work experience (Two years' relevant work experience is equivalent to one year college)

What A Day Of A Quality Outreach Specialist Would Look Like :

  • Operationalize quality initiatives by translating strategic goals into actionable plans for provider networks and groups.
  • Analyze performance data and provide insightful feedback and recommendations to support continuous improvement
  • Design targeted interventions with clear outcomes and metrics to monitor progress toward quality goals.
  • Support the annual HEDIS audit which may include but not be limited to, nurse abstractor education, overreading, reviewing non-compliant records to determine a more appropriate provider to request records from.
  • Collaborate with internal departments to streamline data collection, processing, and reporting at the cadence needed to drive improvement.
  • Initiate internal processes that support provider engagement and performance enhancement.
  • Optimize workflows and systems to ensure efficiency and effectiveness in tracking and improving quality measures.
  • Participate in cross-functional meetings to represent the quality team and contribute to broader organizational initiatives.
  • The Quality Outreach Specialist should expect to meet with providers in-person. Expected travel approximately 20%.
  • Support additional quality-related tasks as needed to meet evolving priorities
  • As of the date of this posting, a good faith estimate of the current pay range is $76,346 to $114,518. The position is eligible for an annual incentive bonus (variable depending on company and employee performance).

    The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, travel requirements, internal equity, business or organizational needs, and alignment with market data. At Blue Cross of Idaho, it is not typical for an individual to be hired at or near the top range for the position. Compensation decisions are dependent on factors and circumstances at the time of offer.

    We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical / dental / vision / pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program and paid family leave program.

    We will adhere to all relevant state and local laws concerning employee leave benefits, in line with our plans and policies.

    Reasonable Accommodations

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

    Create a job alert for this search

    Outreach Specialist • Meridian, ID, US

    Related jobs
    • Promoted
    Fabrication Finishing Specialist

    Fabrication Finishing Specialist

    JTSCaldwell, ID, United States
    Full-time
    Job Title : Fabrication Finishing Specialist.Job Family : Sheet Metal Fabrication.Sheet Metal Fabrication Supervisor.The Fabrication Finishing Specialist. This role requires attention to detail, the a...Show moreLast updated: 6 days ago
    • Promoted
    Customer Support Quality Assurance Specialist (Pharmacy Operations) (Boise, ID)

    Customer Support Quality Assurance Specialist (Pharmacy Operations) (Boise, ID)

    Blink HealthBoise, ID, US
    Full-time
    Customer Support Quality Assurance Specialist (Pharmacy Operations) (Boise, ID).Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessib...Show moreLast updated: 9 days ago
    Quality Assurance Internship

    Quality Assurance Internship

    JST ManufacturingMeridian, ID, USA
    Internship
    Quick Apply
    The Quality Assurance Intern supports the Quality Department in the creation, organization, and maintenance of QMS documentation in alignment with ISO 9001 standards. This role gathers information f...Show moreLast updated: 23 days ago
    • Promoted
    Center Manager in Training - Relocation Required

    Center Manager in Training - Relocation Required

    Takeda PharmaceuticalsNampa, ID, US
    Full-time
    Every day at BioLife, we feel good knowing that what we do helps improve the lives of patients with rare diseases.While you focus on our donors, we'll support you. We offer a purpose you can believe...Show moreLast updated: 30+ days ago
    Fabrication Finishing Specialist

    Fabrication Finishing Specialist

    Johnson Thermal SystemsCaldwell, Idaho, United States, 83605
    Full-time
    Job Title : Fabrication Finishing Specialist.Job Family : Sheet Metal Fabrication.Sheet Metal Fabrication Supervisor.The Fabrication Finishing Specialist. This role requires attention to detail, the a...Show moreLast updated: 5 days ago
    • Promoted
    • New!
    Healthcare Services Operations Support Auditor

    Healthcare Services Operations Support Auditor

    Molina Healthcarenampa, id, us
    Full-time
    Provides support for non-clinical healthcare services auditing activities.Responsible for performing audits for non-clinical functional areas in alignment with regulatory requirements - ensuring qu...Show moreLast updated: 6 hours ago
    • Promoted
    Area Quality Operations Manager- Kiewit Nuclear Solutions

    Area Quality Operations Manager- Kiewit Nuclear Solutions

    KiewitBoise, ID, US
    Full-time
    Area Quality Operations Manager- Kiewit Nuclear Solutions.Located at the project location, the Area Quality Operations Manager is responsible for the development, implementation, and management of ...Show moreLast updated: 30+ days ago
    • Promoted
    92Y Unit Supply Specialist

    92Y Unit Supply Specialist

    U.S. ArmyBoise, ID, United States
    Full-time +1
    As the Unit Supply Specialist, you’ll be responsible for supervising and maintaining all Army supplies and equipment.You’ll receive, inspect, inventory, load and unload, store, issue, and deliver a...Show moreLast updated: 10 days ago
    • Promoted
    External Communications, Senior Specialist

    External Communications, Senior Specialist

    RelativityBoise, ID, United States
    Full-time
    Become the linchpin of clear, customer-centered messaging as part of the GTM Enablement & Communications team (within Success Operations). You'll lead planning and delivery of external communication...Show moreLast updated: 4 days ago
    • Promoted
    Job Posting Sales Manager

    Job Posting Sales Manager

    Right Now Heating & Air ConditioningCaldwell, ID, US
    Full-time
    We are seeking a high energy driven individual to lead our team of Brand Ambassadors.Career Opportunity with Advancement. Medical, Prescription, Dental, and Vision.Disability & Term Life Insurance.C...Show moreLast updated: 30+ days ago
    • Promoted
    National Construction Quality Management Practice Builder

    National Construction Quality Management Practice Builder

    UlteigBoise, ID, United States
    Full-time
    Ulteig is currently seeking qualified candidates for the position of National Construction Quality Management Practice Builder with a PE License. The National Construction Quality Management Practic...Show moreLast updated: 30+ days ago
    • Promoted
    Doctrinal Training Team Lead

    Doctrinal Training Team Lead

    Clearance JobsMarsing, ID, US
    Full-time
    Client Solution Architects (CSA) is currently seeking a DTT Lead to support our program at Fort Gowen, Idaho.For nearly 50 years, CSA has delivered integrated technology and operational support ser...Show moreLast updated: 30+ days ago
    • New!
    Temporary Instructional Designer - Technical Writer

    Temporary Instructional Designer - Technical Writer

    JTSCaldwell, Idaho, United States, 83605
    Full-time
    Instructional Designer – Technical Writer.Training and Development Manager.This position runs through the 2025 calendar year. The Instructional Designer – Technical Writer is responsible for designi...Show moreLast updated: 2 hours ago
    • Promoted
    Culinary Specialist

    Culinary Specialist

    United States ArmyIdaho City, Idaho, US
    Part-time +1
    As a Culinary Specialist, you'll cook meals and work alongside chefs to prepare meals comparable to any major restaurant, so that Soldiers can sit down and enjoy a hot meal in between training or m...Show moreLast updated: 30+ days ago
    • Promoted
    Delivery Specialist - Hub

    Delivery Specialist - Hub

    O'Reilly AutomotiveNampa, ID, US
    Full-time
    Deliver parts and / or products to O'Reilly stores and DC in a safe and efficient manner.Bilingual candidates encouraged to apply. Drive company vehicle to deliver parts and products to stores and / or ...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Behavior Support Specialist (CALDWELL)

    Behavior Support Specialist (CALDWELL)

    Care Options for KidsCALDWELL, Idaho, US
    Part-time
    The BCaBA provides direct support and guidance to students and staff in addressing behavioral, social, and emotional needs. This role focuses on assisting with assessing student behavior, developing...Show moreLast updated: 2 hours ago
    • Promoted
    • New!
    Clinical Learning Facilitator - Utilization Management Trainer

    Clinical Learning Facilitator - Utilization Management Trainer

    Molina Healthcarenampa, id, us
    Full-time
    Delivers training programs for clinical staff across the enterprise to orient employees to Molina's clinical methodology, policies, processes, and systems. Ensures all Molina clinical team members a...Show moreLast updated: 6 hours ago
    • Promoted
    • New!
    Manager of Continuous Improvement

    Manager of Continuous Improvement

    JTSCaldwell, ID, United States
    Full-time
    Manager of Continuous Improvement.Mission Critical Group (MCG) and Johnson Thermal Systems (JTS).This leadership role brings about the senior leadership vision for operational excellence by executi...Show moreLast updated: 1 hour ago
    • Promoted
    Unit Supply Specialist

    Unit Supply Specialist

    United States ArmyIdaho City, Idaho, US
    Part-time +1
    Inventory Clerk Job Overview : We are looking for motivated record keepers with a passion for exceeding expectations! You will play a vital role in maintaining accurate and organized records, contri...Show moreLast updated: 30+ days ago
    Quality Assurance Lab Assistant (ID)

    Quality Assurance Lab Assistant (ID)

    HB Specialty FoodsNampa, ID, US
    Full-time
    Quick Apply
    Immediate Quality Assurance Associate Opportunity Lab Assistant - Days (5 : .Salary Compensation : $17 / hour $500 Sign on Bonus • Job Summary : The Lab Assistant ...Show moreLast updated: 12 days ago