Quality Improvement Resume Sample
Emiliano Batz
64853 Effertz Course,
Phoenix,
AZ
+1 (555) 607 4218
Work Experience
Manager, Quality Improvement
09/2016
-
PRESENT
Detroit, MI
- Pursues methods to ensure receipt of relevant data, as required for accurate trending of various QI work plan metrics
- Analyzes key plan metrics, such as top diagnoses, clinical procedures, and operational performance, to enable the development of sound and valid recommendations regarding and prioritization of clinical and service improvement initiatives
- Performs various quality department functions and processes, such as quality of care complaint/adverse event review and assessment of medical record review results and recommend actions to address any identified improvement opportunities
- Manages and monitors clinical quality studies to include receipt and analysis of trended data, assessment of national benchmarks as available, development of improvement recommendations (to include ROI and best practice interventions as appropriate), presentation to senior leadership, implementation of plan, and evaluation for desired result
- Recommends strategies to improve member compliance to QI program activities, addressing methods to change knowledge, attitudes and behaviors, such as handbook content, newsletter articles, member outreach interventions, and member focus groups
- Performs activities to comply with annual HEDIS data collection and analysis, preparing recommendations to increase rates as appropriate
- Develops and implements quality improvement plan in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards
- Establishes professional relationships with state,stakeholders and community agencies to facilitate quality process internally and externally
Quality Improvement Analyst
10/2010
-
04/2016
Philadelphia, PA
- Communicates new state, federal and third party regulations and requirements to the staff
- Facilitates strategic and tactical planning for the quality improvement program, including needs assessments, evaluations, root cause analysis and interventions
- Participates in site visit preparation and execution by regulatory and accreditation agencies (state agencies,URAC,NCQA,CMS,AAAHC,EQRO)
- Leads, facilitates, and advises internal quality improvement teams
- Actively participates on, or facilitates committees such as: Quality Improvement, Utilization Management, Patient Safety and Risk Management
- Responsible for monitoring and evaluating staff performance
- Generate performance metrics and dashboards for status of inspection readiness reporting elements to management on a monthly basis or as needed. Continuously monitor and identify and implement improvements to the process
Quality Improvement Summer Intern Saint Alphonsus Health Alliance
01/2007
-
08/2010
Chicago, IL
- Develops and implements systems, policies, and procedures for the identification, collection, and analysis of performance measurement data
- Analyzes, updates, and modifies standard operating procedures and processes to continually improve QI Department services/operations including but not limited to quality of care complaint/adverse event investigations, and ambulatory medical record review assessments
- Assists in strategizing and facilitating various committee structures and functions to best address the QI process and oversees Quality Committees
- Oversight and interface internally and externally with pay for performance programs and initiatives
- Coordinates and completes all QI activities required to meet national accreditation and regulatory performance improvement initiatives
- Collects and summarizes market performance data, identifies opportunities for improvement, and presents findings quarterly to the Quality Improvement Committee
- Oversees QI staff in the implementation of performance initiatives to drive HEDIS performance and contract compliance quality performance
Education
Adams State University
2003 - 2007
Bachelor's Degree in Nursing
Professional Skills
- Provide professional advice and guidance on the Wales Deanery’s QIST activity, processes and procedures to internal and external stakeholders, using judgement and creativity to suggest the most appropriate course of action where appropriate, and ensuring complex and conceptual issues are understood
- Take responsibility for investigating, analysing and resolving issues independently within the Wales Deanery’s QIST provision, supported by advances within quality improvement
- Demonstrates thought leadership, excellent project management skills, knowledge and experience with program evaluation and consulting skills
- Strong collaboration skills, written and verbal communications skills
- Experience in using Microsoft office Ability to be an active, effective team member and leader. Excellent communication and organization skills
- Strong computer skills; demonstrated mastery of all MS Office products (including Outlook, Excel, PowerPoint, Word, Internet Explorer)
- Training and experience in performance improvement activities Good presentation and education skills
How to write Quality Improvement Resume
Quality Improvement role is responsible for microsoft, organizational, presentation, interpersonal, computer, organization, health, leadership, research, planning.
To write great resume for quality improvement job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Quality Improvement Resume
The section contact information is important in your quality improvement resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Quality Improvement Resume
The section work experience is an essential part of your quality improvement resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous quality improvement responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular quality improvement position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Quality Improvement resume experience can include:
- Strong computer skills to include Microsoft Office products (Word, Excel, PowerPoint and Outlook) and Internet research skills
- Excellent oral and written communication skills needed, strong organizational ability required
- A strong customer focus, with a proven ability to effectively influence and manage customer expectations
- Utilize critical thinking skills and time management principles in developing effective work plans to achieve goals
- Strong administrative skills to include: member and provider calls, faxing, ability to request records, communicate clearly, documentation
- Communicate with all levels of management; ability to engage and influence employees through strong communication and presentation skills
Education on a Quality Improvement Resume
Make sure to make education a priority on your quality improvement resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your quality improvement experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Quality Improvement Resume
When listing skills on your quality improvement resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical quality improvement skills:
- Experience with direct customer contact, presenting samples and agreeing technical standards demonstrating good presentation skills
- Strong computer skills including Microsoft Office platform—Word, Access, Excel, PowerPoint, Flowcharting/mapping, E-mail, Web/Internet
- Extract, validate and summarize data from different large databases using data management and querying skills
- Skills and experience to work under demanding timelines
- Effective communication skills, written and verbal, to allow interaction with all levels of personnel including physicians
- Excellent presentation skills with the ability to translate complex ideals and topics to all audiences
List of Typical Experience For a Quality Improvement Resume
1
Experience For Manager, Quality Improvement Resume
- Demonstrated skills in critical thinking, problem-solving, and the analysis, interpretation and evaluation of complex information
- Experience recruiting, developing and managing highly-skilled, innovative clinical teams
- Verbal and written communications skills in preparing recommendations and written documentation in an appropriate format and facilitating work groups
- Experience in using Microsoft office computer software including Word, Excel, Power Point. Experience in Internet usage
- Computer operational skills, understanding of statistics, spreadsheets and database systems
2
Experience For Quality Improvement Analyst Resume
- PC experience utilizing Microsoft Windows-based products and database experience
- Problem-solving skills and judgment to make independent decisions to meet the needs of the organization in the interest of quality care, safety and risks
- Effectively summarize and communicate evaluation results and recommendations to team members, key stakeholders, all levels of Laboratory management as required
- Able to effectively work with various functions and levels within the organization
- Leading improvement project experience is requirement
- Strong understanding of and ability to perform in a data-driven environment including statistical charting, trend analysis
- Experience managing, implementing and evaluating quality improvement programs and change management processes
3
Experience For Quality Improvement Project Manager Resume
- Experience in drafting training materials including flow charts, job aids, and associated workflows documentation
- Experience in developing and using Webinars as a vehicle for communication and training
- Experience in data analytics via collecting, analyzing, and presenting data and recommendations to management is required
- Experience designing and developing project and program planning
- Demonstrated PC proficiency, including word processing, spreadsheets, database and statistical applications
- Experience developing and leading Quality Improvement projects and functions
- Experience working in a matrix model providing leadership, guidance and expertise
4
Experience For Quality Improvement RN Resume
- Experience in writing guides to production and training operational teams
- Experience with electronic reporting tools for generating reports from a warehouse type database
- Significant experience defining and conveying information needs of the business to IT support personnel and data constraints to the business
- Advanced knowledge and significant experience analyzing data using statistical applications
- Experience with analyzing HEDIS, CAHPS, HOS and Medicare Star rating data
- Experience utilizing quality control tools such as FTA, FMEA, 5-why analysis, fish-bone diagram, pareto chart, histogram, and DOE
- Experience using accreditation agency programs
- Experience in using Total Quality Management (TQM)/Continuous Quality Improvement (CQI) concepts
- Leadership experience and track record of successfully driving change
5
Experience For Quality Improvement Program Manager Resume
- Experience in facilitating projects with physicians, nurses & clinical team to improve quality of care
- Proven track record of delivering measureable results
- Strong computer literacy including intermediate Excel
- Over 3 years and up to and including 5 years clinical experience
- Leadership experience managing multiple, cross-functional teams required
- Good logic thinking
- Epic report writing experience
- Experience with HEDIS, MU, PQRS, and NCQA reporting
- Experience in healthcare, outpatient medical clinic setting
6
Experience For Quality Improvement Care Coordinator Resume
- Experienced in Quality Assurance (QA)/testing of workflows
- Experienced in QA/testing of workflows in an electronic medical record environment
- Management experience or in a project, senior or lead role directing teams is required
- Experience working directly with providers and/or in integrated clinical delivery systems
- Clinical and/or health care management experience, with general understanding of performance measures (e.g., NCQA/HEDIS measures, MSSP measures, etc.)
- Demonstrated proficiency with the following computer application Microsoft Office, Microsoft Visio, database application and analytical tools such as Tableau
- Demonstrated understanding of complex healthcare industry, health plan and business processes specific to Quality and Performance Improvement
- Improve existing design to ensure a world class end user experience
7
Experience For Senior Manager, Global Quality Improvement Resume
- Initiates, prioritizes and manages multiple special projects and studies to improve organization-wide quality and safety process and system reliability
- Identifies critical Customer Experience improvement opportunities to ensure systemic closed-loop corrective action
- Directs the day-to-day prioritization of staff activities
- Experience in Patient Access Center/Contact Center (Customer Service)
- Managerial Experience
- Ensure that records are established and maintained to provide evidence for all loss and defect improvement
- Understanding of HACCP systems
8
Experience For Director of Clinical Quality Improvement Resume
- Leading people & teams
- Manage the operation of the Wales Deanery’s QIST workstream and team, organising and delegating work, monitoring progress and intervening as required
- Manages and implements special projects including research, analysis, implementation planning, workgroup facilitation, and project reporting
- Facilitates distribution of practice guidance by arranging and/or delivering Quality Conversation webinars and writing newsletter articles
- IHQI’s Faculty Development Program promotes professional development in quality improvement through mentoring, training, and educational programming
9
Experience For Quality & Improvement Engineer Defence Operations Resume
- Provides leadership and support in establishing and directing the Quality Program consistent with the delivery system/OHCC directives
- Manage and guarantee resolution of customers concerns on a daily basis working closely with Production and Engineering
- Provide assistance in the budgeting and financial forecasting/ analysis process
- Responsible for definition of standard trouble shooting procedures for quality deviations by analyzing the quality results
- Responsible for auditing of operating standards
- Actively participates in the daily KPI tracking and reporting
- Supports the completion of internal & external audits including closing gaps in production & maintenance to identify and proactively address risk areas
- Actively participates into the people management process, including the engagement program, people recognition, coaching
10
Experience For Quality Improvement Officer Resume
- Performs ongoing monitoring of Quality of Care case outcomes and produces annual report for the Medical Advisory Council
- Proficiency in interpreting results and formulating recommendations/action plans
- Promote and educate providers regarding FSR requirements, HEDIS, QI projects, and other issues of concern during and between FSRs
- Advanced training and knowledge in applying lean methodologies to improve work processes, such as Lean and Design for Six Sigma (DFSS)
- Manages the measurements and reporting of public data bases
- Oversees the Patient Safety functions, including the Patient Safety Committee
List of Typical Skills For a Quality Improvement Resume
1
Skills For Manager, Quality Improvement Resume
- Demonstrates outstanding negotiation, presentation, and facilitation skills
- Previous experience cleansing, validating, and analyzing data
- Critical thinking and problem solving skills. Current licensure as an RN in State of Michigan
- Uses analytical skills for moderately complex applications issues, problem resolution, planning and designing portions of the applications
- Communicate specialist and complex information effectively and professionally, verbally and in writing, to a wide range of audiences
- Experience in QI, performing a wide range of functions with strong focus on data analysis and initiation of improvement initiatives
2
Skills For Quality Improvement Analyst Resume
- Demonstrate an understanding of the clinical, financial and operations requirements in a hospital setting
- Experience with establishing and managing an annual budget
- Experience integrating quality improvement into daily work processes, quality compliance oversight and coordinating quality outcomes
- Related experience in an acute care setting
- Experience in Quality Improvement/Management in a healthcare setting
- Experience working with Teradata
- Demonstrates basic understanding of quality tools and methodologies
- Works collaboratively with all members of the quality management department, offering assistance and expertise as needed for the good of the whole
3
Skills For Quality Improvement Project Manager Resume
- Problem Solving/Analytical Skill
- Proven track record of delivering step-change initiatives
- Strong working knowledge of LEAN, DAMAIC, and other Six Sigma best practices
- Be flexible in the face of changing priorities
- Intermediate Other Ability to be flexible in the face of changing priorities
- Experience extracting data from clinical databases
- Proven leadership responsibilities and success in managing the health care environment required
- Experience working in Emergency Department, ICUs and/or inpatient care units
- Intermediate ability to be flexible in the face of changing priorities
4
Skills For Quality Improvement RN Resume
- Experience writing healthcare quality program-related documents to meet regulatory and/or accreditation requirements
- Quality management experience in a medical group/IPA or HMO setting
- Licensure: Registered Nurse with current Oklahoma license in good standing
- Experience working with disadvantaged populations helpful and knowledge of health disparities highly desired
- Demonstrated outcomes reliant upon project/program implementation, business process re-engineering and data analysis
- Experience within a healthcare, mental health or long-term care setting required
- Extensive experience writing queries for relational databases such as (Microsoft SQL)
- Willingness to ask questions and proven ability to learn
- Experience in a health care delivery organization, such as a managed care organization or a hospital environment
5
Skills For Quality Improvement Program Manager Resume
- Reporting and presenting out data findings to appropriate staff/leadership
- Working knowledge of physician practices, contract arrangements and interactions with administrative leadership
- Monitoring of equipment and medical resources in key areas. Provide recommendations of resource necessities to provide optimum care of the sepsis patient
- Working knowledge of basic business software such as Excel, PowerPoint, Word, and statistical analysis software such as Minitab
- Working with SCM department closely to improve suppliers ’quality performance
- Reading Comprehension –Understands written sentences and paragraphs in work related documents
- Acting as the single point of contact for all Customer related Quality issues and activities within the OBU
6
Skills For Quality Improvement Care Coordinator Resume
- Performs and coordinates Core Measures activities including monitoring, analysis, reporting, feedback and performance improvement
- Perform Inter-Rater Reliability (IRR) (quality assurance checks) on the Medical Record abstraction vendor during HEDIS reporting
- Serves as a resource for providing data and best practices for decision making and system standardization
- Collaborates with nurse educators to ensure staff proficiency and clinical expertise in sepsis treatment and updating and revising clinical practice guidelines
- Works with Enterprise on developing and implementing HEDIS member engagement strategies
- 2 Evaluates and investigates contributing factors, potential causes, actual causes and root causes of the event/near miss being investigated
- 1 Assist visitors/surveyors from regulatory agencies during on-site visits, serving as liaison between the surveyor and co-workers, as requested & assigned
- To manage product non-conforming handling procedure and system
- Sustainment of training on key QI initiatives/projects by timely communication/training
7
Skills For Senior Manager, Global Quality Improvement Resume
- The Senior Manager is accountable for monitoring business line strategy, team goals, and ensuring strategic alignment to BSC corporate goals
- Accountable for building a high performing team within the Quality department
- Coordinates quality projects by scheduling and leading quality focus meetings
- Continuous technical training and certification opportunities
- Opportunity to use free HPE parking
8
Skills For Director of Clinical Quality Improvement Resume
- Work-life balance program including free legal, financial and psychological consultation
- Completes follow up for open action items, facilitates action planning, and reports to other committees as required
- Provides expertise to the training department on HEDIS measures and tools that support collection of and communication about HEDIS to the enterprise
- Educate clinical staff, students, residents, and faculty regarding national clinical quality measures and the department’s performance on these measures
- Utilizes hospital’s cultural beliefs as the basis for decision making and to support the hospital’s mission and goals
- Educate clinical staff, students, residents, and faculty regarding national clinical quality measures and BMC’s performance on these measures
9
Skills For Quality & Improvement Engineer Defence Operations Resume
- 4 Provides support and assistance for quality activities with regulatory bodies during on-site visits
- Responsible for planning, execution and evaluation of large and complex program initiatives to improve quality performance in the HMO and ACO lines of business
- 6 Develops reports for appropriate committees including TapRooT and Mercy Alerts for submission to SMHS
- Coordinate quality activities with local, state and federal regulatory organizations during on-site visits
- 3 Provide interpretation of standards & regulations as well as advice & guidance regarding compliance
- Proficient knowledge of Microsoft Office applications required, including, but not limited to, Word, Excel, Access, and PowerPoint
- 2 Runs reports and collates data into usable formats for reporting and improvement efforts
10
Skills For Quality Improvement Officer Resume
- 3 Communicates opportunities for improvement in structured concurrent review and reporting plan
- 1 Keeps up with changes in measures and reporting programs and communicates to coworkers and physicians
- Expertise in software testing
- Knowledge of Artificial Intelligence and Tools automation leveraging Speech Analytics technologies
- Intermediate Other Ability to work on multiple projects and tasks on a daily basis, remaining calm under pressure
- Assist with ad hoc support needed on guestVoice platform (Marriott’s guest satisfaction and social media listening platform)
- Intermediate ability to work on multiple projects and tasks on a daily basis, remaining calm under pressure
- Serve as a content expert for clinical quality measures by keeping current with national healthcare quality program guidelines
List of Typical Responsibilities For a Quality Improvement Resume
1
Responsibilities For Manager, Quality Improvement Resume
- Excellent organizational skills, analytical in nature with a curiosity towards solving complex problems, and strong attention to detail
- Skill and ability to communicate effectively both verbally and in writing
- Oral and written communication skills needed, strong organizational ability required
- Strong communication skills (both written and verbal) and ability to work with multi-disciplinary departments across the organization
- Analytical skills to analyze data and prepare reports
2
Responsibilities For Quality Improvement Analyst Resume
- Communicate effectively and professionally with members and providers
- The ability to work effectively with cross functional teams
- Clinical experience in Home Health with one (1) year of experience in quality improvement, safety management or infection control
- Effectively communicate program management architectures, plans, proposals, and results, and negotiate options
- Intermediate computer skills; proficient in Microsoft Word, Excel and PowerPoint
- Demonstrated experience in a high-growth business environment
- Experience working in a high-volume manufacturing environment (1 million or more units per day)
- Skill in mentoring and developing other people
3
Responsibilities For Quality Improvement Project Manager Resume
- Experience with manufacturing quality/NPI quality projects and process improvement
- Experience in development or sustaining of instrumented electromechanical equipment
- Demonstrated ability to drive continuous improvement in a manufacturing environment
- Strong computer literacy including intermediate/advanced Excel
- Communicates and Shares Information: to ensure an open environment and effective airing of concerns
- Management experience or in a project, senior or lead role directing teams
4
Responsibilities For Quality Improvement RN Resume
- Strong working knowledge of health plan policies and procedures
- BSc in process engineering, chemistry, biology, food technology or equivalent extensive practical experience
- Ensures all hospital level publicly required measures are collected, validated for data integrity, and reported timely to the appropriate entities
- Experience driving those initiatives
- Ensure the timely and effective identification of potential quality of care issues
5
Responsibilities For Quality Improvement Program Manager Resume
- Medical-surgical and/or Quality Improvement and Utilization Review experience
- Leadership or supervisory experience
- Identify and prioritize key quality and utilization measures critical to client success under its performance based payment programs
- Drive improvements to the QMS that ensures its suitability, adequacy, and effectiveness
- Provide QA support in the review and approval of plant related validation protocols, reports, and change requests
- Experience with performance measurement and quality improvement methods
- Experience with organizational policy and procedure development
- Experience with Quality Metrics, Stars, Hedis and P4P
- Work independently and handle multiple priorities
6
Responsibilities For Quality Improvement Care Coordinator Resume
- Demonstrated competence in database management and query tools
- Experience in member, provider and customer service or call center environment
- Fluent German and good English language knowledge (verbal and written)
- Experience in food service / QSR coated products, preferably poultry
- Operational Process Management Experience preferably Shift Manager of a coated line
- Strong knowledge of mathematical, statistical principals and data analysis
- Strong knowledge of Managed Care and Health Insurance concepts and regulation
7
Responsibilities For Senior Manager, Global Quality Improvement Resume
- Experience
- Previous experience in quality is required
- Ensuring quality system run stably and keep improving
- Leading quality system internal, second party, third party auditing
- Monitoring whole company quality performance and ensuring every department to complete quality index
- Monitoring and developing suppliers for quality performance and continuous improvement
- Supporting and tracking suppliers’ quality improvement
- Serving as the primary contact to State agencies for all Quality matters
- Leading the local Quality committees
8
Responsibilities For Director of Clinical Quality Improvement Resume
- During the first 90 days, need to be onsite 3 days per week at one of our Florida plans
- Working knowledge of Quality Systems and related tools
- Working knowledge of ISO9001,TS16949 , quality system and related tools
- Supporting R&D on the trials and implementation, technical documentation as well as training on all new products
- To lead manufacturing operations in finding risks and continuous improvement with lean and Kaizen methodology
9
Responsibilities For Quality & Improvement Engineer Defence Operations Resume
- Co-ordinate and support specific working groups as required to achieve the Wales Deanery’s QIST objectives
- Confer with staff to obtain data such as new projects, status of work in progress, and problems encountered, required for planning work function activities
- Knowledge of HEDIS and accrediting body requirements
- Contributes data analysis support to on-going quality improvement initiatives
- Performs critical analyses of outcomes, methods, and processes, utilizing data collected from primary and secondary sources
10
Responsibilities For Quality Improvement Officer Resume
- Assists with establishing long-range objectives and specific strategies and actions to achieve them
- Monitors clinical decision-making and performance to ensure quality outcomes
- Develops electronic tools and resources for new and existing quality improvement projects and initiatives
- Conducts regular quality training sessions with internal and external customers
- Manages communications on a regular and timely basis, ensuring that all project participants are informed of project status, problems and required actions
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