Quality Improvement Specialist (55399)

Health Solutions is a premier wellness center focused on whole person care. With over 400 employees in Southern Colorado, you would be joining a mighty team of support and administrative staff, clinicians, physicians, nurses, and others in our efforts to improve the health and wellbeing of our community.

We’re hiring a full-time Quality Improvement Specialist to join our Quality and Compliance group located at 41 Montebello Pueblo, CO 81001.

What You’ll Be Doing

Under the supervision of the Manager of Quality Assurance & Audit, the Quality Improvement Specialist leads agency-wide initiatives to enhance clinical and operational performance. This role applies evidence-based quality improvement methodologies to optimize workflows, ensure regulatory compliance, and support audit readiness and performance reporting. The specialist collaborates across departments to improve care delivery in both primary care and behavioral health settings, promoting integrated care best practices and fostering a culture of continuous improvement.

RESPONSIBILITIES: The Quality Improvement Specialist drives agency-wide efforts to enhance both clinical and operational performance. This role applies proven quality improvement methodologies—such as PDSA, Lean/Six Sigma, and IHI approaches—to optimize workflows, ensure regulatory compliance, support audit readiness, and contribute to performance reporting. The specialist collaborates across departments to improve care delivery in primary care and behavioral health settings, while fostering a culture of continuous improvement throughout the organization.

• Lead quality improvement initiatives using frameworks such as PDSA, Lean/Six Sigma, or IHI methods to achieve measurable outcomes and process enhancements.
• Track and report on clinical quality measures, including HEDIS, CCBHC, eCQMs, and UDS, utilizing data analysis to drive informed decision-making.
• Collaborate with interdisciplinary teams to continuously improve care delivery and implement best practices in both primary care and behavioral health environments.
• Ensure ongoing compliance with RAE/BHASO and state regulations, including Behavioral Health Administration (BHA) and Health Care Policy and Financing (HCPF) requirements.
• Conduct root cause analyses (RCA) and develop corrective action plans in response to identified issues or process gaps.
• Validate electronic health record (EHR) data integrity and accuracy through systematic documentation audits and technical reviews.
• Support organizational accreditation and grant reporting efforts, such as PCMH, NCQA, and HRSA, by preparing and submitting required documentation.
• Deliver comprehensive education and training for staff on Quality Improvement tools, coding and documenting best practices, and evidence-based methodologies in accordance with regulatory and funding standards.
• Facilitate process improvement projects and drive continuous improvement by identifying opportunities for innovation and ensuring deliverables are met within scope and timeline.
• Design, implement, and monitor action plans based on audit findings and compliance reviews to improve service delivery, documentation, and billing practices.
• Prepare and distribute daily, weekly, and quarterly reports of audit and performance findings, offering actionable insights for leadership and teams.
• Undertake additional duties as assigned to further organizational goals and enhance the quality improvement program

Desired attributes:

• Adaptability: Embraces workplace change as an opportunity for innovation and creativity.
• Problem-Solving: Takes ownership of issues, identifies solutions, applies sound judgment, and demonstrates consistent follow-through.
• Professional Growth: Demonstrates job knowledge, performs fundamental functions, and is willing to assume greater responsibilities over time.
• Collaboration: Inspires and models' teamwork to achieve shared goals.
• Customer Service: Exhibits politeness, helpfulness, flexibility, and trust-building while maintaining appropriate boundaries.

Health Insight: Understands clinical practices and their impact on quality and performance.

Physical Requirements:

• Ability to remain in a stationary position for extended periods while performing job-related duties.
• Ability to operate standard office equipment, including computers, telephones, and other technology required to perform essential job functions.
• Ability to communicate and exchange information with employees, providers, regulatory agencies, and other stakeholders.
• Ability to move throughout office, clinic, or meeting locations as needed to attend meetings, trainings, and collaborative activities.
• Occasionally moves and transports materials, files, and office equipment weighing up to 25 pounds.

What You’ll Like About Us

• Competitive pay $64,209.34 Annually (Dependent on experience, certification and shift)
• Generous benefits package. For most positions, includes paid holidays, generous PTO, EAP, tuition reimbursement, retirement, insurances, FSA, and a premier wellness program
  • Insurance: Medical, Dental, and Vision, with low deductibles. Also, Wellness benefits program available.
  • HS Funded: EAP, LifeLock, Ask Charlie, Life and AD&D, LTD
  • Retirement 403(b) with employer match up to 6%
  • Additional Insurance:  FSA, Voluntary Life, Sun Life Voluntary benefits, and pet insurance
  • Childcare
  • Flexible work schedule
• Employee recognitions and celebrations
• Warm and friendly work environment in which staff respect and learn from one another

What we’re looking For—The Must-Haves

• Bachelor's degree in public health, Healthcare Administration, Nursing, Social Work, or related field.
• Minimum of 2 years of experience in healthcare quality or performance improvement.
• Comprehensive knowledge of clinical workflows in primary care and behavioral health.
• Familiarity with state/federal reporting requirements.
• Proficiency in Microsoft Office, particularly Excel, and experience with EHR systems.
• Valid driver’s license and reliable transportation.

What we’d Like to See in you—the Nice-to-Haves

• Master’s degree (MPH, MHA, MSW, MBA, or similar).
• Certification in CPHQ, Lean Six Sigma (Green or Black Belt), or equivalent certification.
• Experience in CCBHC or FQHC environments.
• Familiarity with NCQA standards Regional Accountable Entities (RAE), Behavioral Health Administration Service Organization (BHASO) and behavioral health metrics.

Health Solutions expects all staff to

• Adapt to change in the workplace and use change as an opportunity for innovation and creativity.
• Take ownership of problems, brainstorm problem resolutions, and use sound judgment in selecting solutions to problems, and demonstrate consistent follow through.
• Possess the job knowledge and skills to perform the fundamental job functions, and willingly assume greater responsibility over time regarding the scope of work.
• Inspire and model collaborative teamwork and Human Kindness; and
• Demonstrate accommodation, politeness, helpfulness, trust building, appropriate boundaries, and flexibility in customer service.

Must already be authorized to work in the US; sponsorships not available.

Closing Date:       12/31/2026                                            EOE, M/F

Salary : $69,209