Quality Management Specialist III – Population Health

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Develop, assess, and refine operational policies, practices, and procedures with a department-wide impact.

• Offer essential feedback on outcomes to improve effectiveness.

• Manage, review, and analyze operations and services to ensure alignment with program goals and objectives.

• Utilize databases, dashboards, performance outcome data, and reports effectively.

• Suggest modifications based on analytical findings.

• Collaborate with internal teams to pinpoint gaps or opportunities for enhanced workflows or process adjustments for special populations.

• Act as a subject matter expert concerning identified special populations, regulatory requirements, policies, procedures, programs, and staff support.

• Deliver education and training to staff on pertinent program components.

• Oversee the use of resources by specialty populations, including managing secure transportation requests.

• Identify members suitable for population health programs through data informatics.

• Provide interventions and education to foster health prevention and promotion.

⛳️ Requirements

• Bachelor's degree in Nursing with one (1) year of experience caring for individuals with complex physical, chronic, and/or behavioral health conditions; OR a Master's degree in a Health or Human Services field with one (1) year of experience caring for individuals with complex physical, chronic, and/or behavioral health conditions.

• Fully licensed in the state of North Carolina as an LCSW, LCMHC, LPA, LMFT, LCAS, or RN.

• Must possess a valid driver’s license.

• Must reside in North Carolina.

• Must be willing to travel within the catchment area as required.

• Preferred: At least one (1) year of experience in clinical policy review, conducting audits, or quality improvement assessments.

• All candidates are required to pass a drug test as a condition of employment.

🏝️ Benefits

• A collaborative, mission-driven work environment.

• Competitive benefits package.

• Work-from-home options available for most positions.

• Opportunities for professional development in a diverse and inclusive culture.

• Flexible work schedules available with management approval for some roles.

• Health Insurance with no premium cost for employee coverage.

• Flexible Spending Accounts.

• 24 days of Paid Time Off (PTO) plus 12 paid holidays during your first year.

• NC Local Government Retirement Pension (defined-benefit plan).

• 401k plan with a 5% employer match and immediate vesting.

• A qualifying employer for Public Service Loan Forgiveness (PSLF).

• Quarterly stipend for remote work supplies.