Quality Management Specialist III – Population Health
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Quality specialist improving care management policies and population health programs at North Carolina behavioral health MCO. Analyzing outcomes, closing workflow gaps, and educating staff.
Responsibilities:
- Develop, review and evaluate operating policies, practices and procedures with department-wide impact
- Provide critical feedback on outcomes to enhance effectiveness
- Manage, review, and analyze operations and services for adherence to program goals and objectives
- Use databases, dashboards, performance outcome data and reports to analyze operations and recommend changes
- Collaborate with internal teams to identify gaps or opportunities for improved workflows or process changes for special populations
- Serve as a subject matter expert regarding special populations, regulatory requirements, policies, procedures, programs and staff support
- Provide staff education and training on relevant program components
- Oversee utilization of resources for specialty populations, including coordination of secure transportation requests
Requirements:
- Bachelor’s degree in Nursing and one (1) year of experience providing care to individuals with complex physical, chronic, and/or behavioral health conditions; OR Master’s degree in a Health or Human Services field and one (1) year of experience providing care to individuals with complex physical, chronic, and/or behavioral health conditions
- Fully licensed by the state of North Carolina as an LCSW, LCMHC, LPA, LMFT, LCAS or RN
- Valid driver’s license
- Must reside within North Carolina
- Must be able to travel within catchment as required
- Preferred: At least one (1) year of clinical policy review, conducting audits, or quality improvement review experience
- Must pass a drug test as a condition of employment
Benefits:
- A collaborative, mission-driven work environment
- Competitive benefits
- Work-from-home options for most positions
- Opportunities for professional growth in a diverse inclusive culture
- Flexible work schedules with management approval for some roles
- Health Insurance with no premium for employee coverage
- Flexible Spending Accounts
- 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
- NC Local Government Retirement Pension (defined-benefit plan)
- 401k with 5% employer match and immediate vesting
- Public Service Loan Forgiveness (PSLF) qualifying employer
- Quarterly stipend for remote work supplies
Similar Jobs
Lead Quality Specialist
Lead Quality Specialist owning quality systems for Aechelon Technology, a Shield AI company producing 3D simulation content. Driving audits, supplier quality, CAPA, and customer compliance.
Quality Match Specialist
Quality Match Specialist annotating objects and checking data quality for AI development and training. Remote Ukrainian project with flexible full-time or part-time arrangements.
Quality Improvement Specialist
Quality Improvement Specialist advancing Evergreen Nephrology’s value-based kidney care through patient outreach and provider engagement. Closing HEDIS and Medicare Stars gaps through data-driven collaboration.
Quality Specialist – Certifications, Retail Testing
Quality Specialist managing certification compliance and retailer testing for Nestlé Health Science’s health and nutrition products. Coordinating documentation, audits, testing, and corrective actions.
Quality Control Specialist
Quality Control Specialist inspecting parts, documenting non-conformances, and driving corrective actions. Supporting supplier and manufacturing quality for Xometry’s digital marketplace.
Quality Improvement Specialist
Quality Improvement Specialist advancing healthcare quality and population health outcomes at Gainwell Technologies. Applying QAPI, Lean, Six Sigma, and data analysis to improve Medicaid-related care.
Quality and Technical Specialist
Quality & Technical Specialist safeguarding ZOE’s food products and compliance. Managing QMS, suppliers, testing, recalls, and technical foundations for UK/EU expansion.
Image Quality Specialist – VFX, Film
Image quality specialist evaluating AI-generated film, VFX, animation, and photography imagery for 24-MAG. Developing visual-quality standards and precise feedback for advanced AI research.
Validation Specialist – Quality Systems, ETQ Reliance
Validation Specialist leading ETQ Reliance and QMS validation for CGI’s life sciences consulting clients. Ensuring FDA, GxP, and 21 CFR Part 11 compliance.
Health Care Quality Management Specialist
Health Care Quality Management Specialist supporting NCQA accreditation, quality contracts, and performance improvement projects. Remote role for Florida residents at CVS Health.
Quality Specialist
Pre-College Quality Specialist auditing and improving FSC's student programs. Ensuring TRIO compliance, accurate reporting, staff training, and positive outcomes across Wisconsin.
Ad Quality Specialist
Ad Quality Specialist auditing static and animated digital banners for RTB House’s Deep Learning-powered advertising platform. Ensuring technical compliance, visual quality, and campaign readiness across global markets.
Production & Quality Specialist – Seed
Production and quality specialist overseeing seed packet production, inventory, logistics, and supplier coordination for Back to the Roots. Managing quality control and Amazon replenishment operations.
Healthcare Quality Implementations – Integrations Specialist
Healthcare quality specialist supporting CareSource’s market and product implementations and affiliate integrations. Developing RFP content, quality documentation, and readiness deliverables.
Video Annotation, Quality Review Specialist
Video annotation specialist reviewing action labels and hand-pose data for Gramian Consultancy. Ensuring accuracy, consistency, and completeness across large video datasets.
Arabic Quality Control Specialist – Project Lyra
Arabic Levantine linguistics specialist evaluating AI-generated language for Welo Data, a global AI data company. Improving conversational AI accuracy, grammar, and cultural relevance.
Quality Review Specialist I
Quality Review Specialist validating transaction data and improving quality processes for Stewart, a global real estate services company. Supporting title, settlement, underwriting, and lender-service operations.
Quality Management Specialist III – Population Health
Quality Management Specialist developing policies and analyzing care data for Trillium Health Resources, a North Carolina behavioral-health managed-care organization. Supporting population health programs for complex member populations.
Quality Outreach Specialist
Quality Outreach Specialist working with a healthcare startup to enhance Star Ratings and ACO REACH quality programs. Streamlining patient care through outreach, education, and collaboration with healthcare providers.
Quality Management Specialist
Quality Management Specialist reviewing contract deliverables for quality assurance controlling adherence to quality standards. Supporting UAT and driving corrective actions on adverse quality trends.