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Parkland Health · 18 hours ago

Quality Improvement Specialist- Health Plan

Dallas, TX

Full-time

Hybrid

Mid Level

3+ years exp

Parkland Health is dedicated to providing high-quality healthcare services, and they are seeking a Quality Improvement Specialist to manage Performance Improvement Projects. The role involves analyzing healthcare practices, identifying areas for improvement, and implementing strategies to enhance member care and operational efficiency.

CommunitiesHealth CareHospitalMedicalNon ProfitWellness

H1B Sponsor Likely

Responsibilities

Develop and implement quality improvement initiatives

Use quality improvement tools and techniques such as Six Sigma, Lean, and PDSA cycles

Lead end-to-end management of PIPs, from conception through planning, execution, monitoring, and closing, ensuring all milestones are met and documented

Ensure member and staff feedback is incorporated into quality improvement efforts

Integrate health literacy principles into all communication including Members and Providers

Support strategies that meet clinical, quality and network improvement goals

Promote the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed

For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination

Prepares reports for HHSC according to HHSC requirements and timelines

Coordinate with external agencies when required by the project

Tracks and monitors all interventions implemented and evaluates the impact of each intervention utilizing data driven methodologies

Makes adjustments to interventions as required per performance indicators

Supports quality leaders develop quality plans and ensure integration of quality into overall business processes

Develops performance improvement plans and oversees quality improvement activities to improve the quality of care for members

Develop plans to improve HEDIS scores and other quality metrics prepare and present them to management and Providers

Analyze current healthcare practices and identify areas for improvement, and present findings and recommendations to senior management and other stakeholders

Monitor and evaluate the effectiveness of quality improvement initiatives

Collect and analyze data to measure performance and outcomes

Prepare reports and documentation for internal and external use

Conduct root cause analysis for adverse events

Ensures work is carried out in compliance with regulatory and/or accreditation standards as well as contractual requirements

Coordinate with external agencies and accrediting bodies

Assures compliance with Quality Improvement work plans and assures QI activities are relevant to targeted populations

Promotes and supports a culturally welcoming and inclusive work environment

Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values

Adheres to organizational policies, procedures, and guidelines

Completes assigned training, self-appraisal, and annual health requirements timely

Adheres to hybrid work schedule requirements

Attends required meetings and town halls

Recognizes and communicates ethical and legal concerns through the established channels of communication

Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information

Maintains confidentiality at all times

Performs other work as requested that is reasonably related to the employees position, qualifications, and competencies

Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of PCHP

Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices

Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and customer requirements. Seeks advice and guidance as needed to ensure proper understanding

Qualification

Healthcare quality improvementTexas Medicaid knowledgeSix Sigma certificationData analysis softwareProject management skillsVerbal communicationWritten communicationInterpersonal skillsProblem-solving skillsTime managementAttention to detailOrganizational skills

Required

Bachelors degree in business administration or related discipline is required

Minimum of 3-5 years of experience in healthcare quality improvement is required

Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines

Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships across and beyond the organization

Excellent analytical and problem-solving skills

Strong time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities

Ability to write clearly and succinctly with a high level of attention to detail

Proficient computer and Microsoft Office skills. Ability to learn new software programs

Knowledge of Texas Medicaid, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual

Proficiency in data analysis software and tools

Strong project management skills

Ability to work independently and take initiative

Preferred

Bachelor's degree in the healthcare field preferred

Experience with Texas Medicaid, Medicaid, or managed care quality improvement strongly preferred

Certification in Six Sigma, Lean, or other quality improvement methodologies preferred

Clinical experience is a plus

Company

Parkland Health

Parkland Health first opened its doors in 1894 and is now one of the largest public hospital systems in the country.

Founded in 1894

Dallas, Texas, USA

10001+ employees

https://www.parklandhealth.org

H1B Sponsorship

Parkland Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2025 (2)

2024 (2)

2022 (2)