Lead Quality Improvement Specialist

Teladoc Health is a global, whole person care company made up of a diverse community of people dedicated to transforming the healthcare experience. As an employee, you’re empowered to show up every day as your most authentic self and be a part of something bigger – thriving both personally and professionally. Together, let’s empower people everywhere to live their healthiest lives.

The Lead Quality Improvement Specialist plays a critical role ensuring success in our Commercial, Employer, and Government contracts with a focus on quality measures including, HEDIS, MIPS, and internal custom clinical quality measure improvement. The Specialist will enhance Clinical Quality at Teladoc Health by facilitating cross-functional collaboration and coaching for diverse stakeholders to achieve specific value-based and integrated care delivery KPIs. The Specialist must be service-oriented, well-versed in quality measures, and familiar with approaches for reviewing charts to identify and submit documentation to address quality measure gap closure. This role requires meticulous attention to detail, exceptional communication skills (both oral and written), and a passion for leveraging formal improvement science to achieve top-tier quality measure performance in a virtual-first care delivery setting.

Use formal quality improvement methods to achieve top-tier quality measure performance with a strong focus on process measure development and analyzing quality data over time using statistical process control (SPC) to inform serial PDSA cycles Apply knowledge of HEDIS and MIPS quality measures for addressing incentivized, contract measures across multiple commercial health plans and government plans to ensure practice credit for services received by patients Responsible for educating providers, staff, and business leaders on HEDIS, and other quality focused measures. Recommend workflow efficiencies to providers and their staff to improve measure performance Participate in optimizing Electronic Health Record (EHR) system to facilitate quality measures reporting and continuous quality improvement Create and present provider training materials to individuals as well as in small and large group settings Access practices remotely to retrieve documentation to address quality gaps Provide market updates and chart review feedback for assigned practices Submit actionable work plans to health plans and track progress. Manage multiple projects simultaneously in a fast-paced environment and meet necessary deadlines. Successful candidate will lead specific projects and activities with direct support from a Senior Medical Director in virtual primary care.