Quality Improvement Specialist

Company Description

The Riverside County Medical Association (RCMA)—established in 1893—serves as the professional organization representing more than 3,500 physicians, medical residents, and medical students throughout Riverside County. RCMA is dedicated to advocating for the medical community, strengthening professional collaboration, and advancing high-quality, equitable healthcare.

This position, however, is hired on behalf of our sister organization, the Inland Empire Foundation for Medical Care (IEFMC). While RCMA serves as the posting entity on LinkedIn, the selected candidate will be hired to work for IEFMC, a long-standing physician-led organization focused on improving clinical quality, supporting value-based care, and enhancing health outcomes across Riverside and San Bernardino Counties.

Together, RCMA and IEFMC work in partnership to support physicians, elevate care delivery, and strengthen the health of the communities we serve

Inland Empire Foundation for Medical Care (IEFMC)

Location: Riverside & San Bernardino Counties, CA

Position Type: Full-Time, Field-Based (regular travel required)

Inland Empire Foundation for Medical Care (IEFMC) is seeking a dynamic Quality Improvement Specialist I to support physician offices and ambulatory clinics in delivering high-quality, patient-centered care. This role partners directly with providers and clinic teams to strengthen performance in HEDIS, STARS, value-based care, provider incentive programs, HCC/RAF risk adjustment, and EHR optimization. The ideal candidate excels at closing care gaps, reducing inequities, resolving billing errors, and training clinical staff.

• Conduct on-site practice assessments and implement a standardized improvement playbook with measure-specific workflows.
• Partner with providers to identify, track, and close patient care gaps across HEDIS, STARS, and value-based care targets.
• Troubleshoot billing and claims errors related to quality reporting, risk adjustment, and incentive programs; recommend EHR workflow improvements.
• Develop and deliver webinars, in-person trainings, and individualized coaching on documentation standards, EHR workflows, and quality program requirements.
• Serve as the primary liaison for physician-based EHR implementations and support long-term adoption and optimization.
• Lead recurring performance-review meetings with practice leadership and care teams to monitor progress and identify intervention strategies.
• Utilize EHR analytics and reporting to evaluate HEDIS measures, RAF/HCC accuracy, and incentive-program metrics; recommend targeted quality-improvement actions.

• 3 years of experience in an ambulatory or physician-office setting focused on quality improvement, clinical workflows, and EHR training or utilization.
• Comprehensive knowledge of:
• HEDIS, STARS, quality measures, and value-based care frameworks
• HCC/RAF risk-adjustment methodologies
• ICD-10 coding and related clinical documentation requirements
• Commercial insurance, Medicare Advantage, Medi-Cal/Medicaid program operations
• Demonstrated success in project execution, change management, and customer-focused support.
• Experience with HMO, Medi-Cal/Medicaid, Medicare, or government/public programs (preferred).
• Strong working knowledge of EHR system workflows, practice transformation, health equity strategies, and health outcomes improvement.
• Proficiency in Microsoft Word, PowerPoint, and Excel.

• Bachelor’s degree in Project Management, Business Administration, Health Administration, or a related field.
• Medical Assistant certification.

• Regular travel throughout Riverside and San Bernardino Counties; occasional evening meetings required.
• Ability to sit for extended periods and operate standard computer and office equipment.

Please submit your resume.