Role Description As a Quality Management Specialist, you will partner with key members of leadership for the design and implementation of Quality Management procedures, ongoing improvement efforts, and other team projects with the aim of achieving organizational, accreditation, and regulatory requirements. - Review and analyze current processes related to the application and implementation of policies, procedures, and practices; provide leadership with recommendations for updates to comply with the current regulatory and accreditation requirements. - Identify gaps in efficient process workflow and suggest steps for quality process improvement. - Measure process performance using valid and accurate methods; analyze trends, variation, and process stability to determine if defined performance metrics are met and identify areas of risk. - Lead and support structured quality improvement initiatives (e.g. DMAIC or equivalent) to address root causes, reduce variation, and improve performance outcomes. - Manage and lead Quality Improvement Projects (QIPs) ensuring defined problem statements, root cause analysis, measurable objectives, implementation, and validation of sustained improvement outcomes. - Manage and ensure execution of CAPAs, including documented root cause analysis, defined success metrics, implementation tracking, and post-implementation validation. - Serve as liaison between clients and MRIoA’s quality management department as needed. Qualifications - Demonstrated experience applying structured quality improvement methodologies (e.g., Lean, Six Sigma, DMAIC) required. - Six Sigma Green Belt or equivalent certification preferred. - Exceptional customer service skills. - Exceptional analytical and critical thinking skills. - Excellent oral and written communication skills and interpersonal skills. - Exceptional orientation to detail. - Excellent organizational skills. - Ability to work under pressure and meet deadlines while managing multiple high priorities and supporting a flexible schedule. - Working knowledge of managed care and utilization review accreditation standards, including URAC and NCQA, and multi-state regulatory requirements. - Knowledge and understanding of the Company’s clients, products, departments, and workflows. - Personal computer literacy and competency in use of Microsoft Word, Microsoft Excel (intermediate skill), Power Point and PowerBI. - Ability to maintain a high level of objectivity and confidentiality. - Minimum of 5 years’ experience in a quality management role. - Experience in quality improvement activities within a healthcare, health insurance and/or managed care organization preferred. - Experience in supplying small group and individual training preferred. - Experience in research beneficial and preferred. Requirements - High School Diploma. - Preference for a bachelor’s degree or equivalent experience. Benefits - A competitive compensation package. - Benefits include healthcare, vision and dental insurance, a generous 401k match, paid vacation, personal time, and holidays. - Growth and training opportunities. - A team atmosphere with fun events and prizes scheduled throughout the year. Work Environment - Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. - This role is designed to be a remote position (work-from-home). Diversity Statement Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Drug-Free Workplace This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment. Employees are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information. California Consumer Privacy Act (CCPA) Information (California Residents Only) - Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number. - Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.