Quality Improvement Specialist
Contract - 3 months with potential for extension or permanent. Must be a resident of Texas.
Job Description
The QI Specialist will support quality improvement projects and reporting. Respond to inquiries, support medical record retrieval for a large upcoming project, resolve pending records, and ensure records contribute to member compliance and measure rates.
Responsibilities
Call provider offices to request or validate facility and provider addresses and collect medical records for the HEDIS project.
Data entry of address changes into the system.
Upload records upon receipt.
Document all outreach efforts.
Work with MS Excel.
Monitor production of quality results, analyze, track, trend reporting results and report them to management.
Formulate and prepare ad‑hoc and additional reporting requirements.
Recommend, develop, and implement quality improvement plans with management.
Train providers and staff in continuous quality improvement methodologies and tools.
Prepare for and participate in meetings with state agencies, providers, and stakeholders.
Perform audits to meet state and internal requirements.
Perform other duties as assigned.
Comply with all policies and standards.
Qualifications / Requirements
Bachelor's degree in a related field or equivalent experience.
CPHQ (Certified Professional in Healthcare Quality) preferred.
3 years of related experience.
Heavy chart monitoring and auditing of medical records.
Proficiency in Microsoft Excel - intermediate/advanced.
Experience Level
Intermediate
Pay and Benefits
Pay range: $19.00 - $21.00/hr.
Benefits (temporary role, subject to change and eligibility):
Medical, dental & vision.
Critical Illness, Accident, and Hospital.
401(k) Retirement Plan.
Life Insurance.
Short and long-term disability.
Health Spending Account (HSA).
Transportation benefits.
Employee Assistance Program.
Time Off/Leave (PTO, Vacation or Sick Leave).
Workplace Type
Fully remote position.
Application Deadline
Position anticipated to close on Nov 13, 2025.
Equal Opportunity Statement
The company is an equal‑opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About the Company
TEKsystems is an Allegis Group company, a leading provider of business and technology services, with a global presence and focus on innovation and transformation.