US
0 suggestions are available, use up and down arrow to navigate them
PROCESSING APPLICATION
Hold tight! We’re comparing your resume to the job requirements…
ARE YOU SURE YOU WANT TO APPLY TO THIS JOB?
Based on your Resume, it doesn't look like you meet the requirements from the employer. You can still apply if you think you’re a fit.
Job Requirements of QI Specialist I:
-
Employment Type:
Contractor
-
Location:
Imperial, CA (Onsite)
Do you meet the requirements for this job?
QI Specialist I
Careers Integrated Resources Inc
Imperial, CA (Onsite)
Contractor
Job Title: QI Specialist I (Remote – Imperial County, CA)
Location: Fully Remote (Must be based in or able to travel to Imperial County, CA as needed for provider visits)
Type: Temporary (3-month contract with potential to extend to full-time)
Pay Rate: 37.84/hr. on w2
Hours: Monday–Friday, 8:00 AM – 5:00 PM PST (1-hour lunch)
Job Summary:
- The Provider Engagement Specialist supports the implementation of provider engagement strategies to improve quality and risk adjustment outcomes.
- The role focuses on developing relationships with Tier 2 and Tier 3 providers, fostering data-informed performance improvement, and addressing practice-level barriers. This position is key to driving provider collaboration, education, and transformation efforts aligned with health plan goals.
Key Responsibilities:
- Develop and execute provider engagement plans for assigned Tier 2 and Tier 3 providers.
- Conduct regular provider meetings and develop action items to improve quality and risk adjustment performance.
- Identify and address barriers within provider practices that hinder goal achievement.
- Promote provider participation in quality and risk adjustment initiatives (e.g., EMR connectivity, data sharing, Clinical Profiles).
- Track all engagement activities using standardized tools.
- Collaborate with internal teams to support provider training, data exchange, and documentation processes.
- Serve as a subject matter expert for Provider Engagement within the health plan.
- Maintain effective communication with physicians, practice staff, and health plan partners.
- Ensure compliance with organizational policies and healthcare regulations.
Education & Certification:
Associate’s degree (Bachelor’s preferred) or equivalent experience
Certification in healthcare quality (preferred).
Experience:
- 1–3 years in healthcare.
- Minimum 1 year of experience in provider engagement, quality improvement, managed care, or practice transformation.
- Experience working with healthcare providers to improve quality performance.
Skills:
- Strong communication and interpersonal skills with internal and external partners.
- Highly organized, responsive, respectful, and courteous.
- Demonstrated data analytical skills and familiarity with HEDIS and risk adjustment metrics.
- Proficient in PowerPoint, Excel, and Visio
- Leadership ability and problem-solving orientation.
- Additional Information:
- This is a remote position, but candidates must be able to travel within Imperial County, CA as required.
- Role may be extended or converted to full-time based on performance and organizational needs.
Must be available during regular PST business hours.
Get job alerts by email.
Sign up now!
Join Our Talent Network!