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.

Summary of Position

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.

Essential Duties:

• 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.    

Required Qualifications:

• Bachelor's degree required; RN or other clinical background with Master's degree (or other) focused on Healthcare Quality strongly preferred.  Non-clinical professional backgrounds with deep front-line experience driving clinical quality improvement work side-by-side front-line clinicians in large care delivery organizations will be also considered. 

• 7+ years of experience in a formal quality improvement role in a large health care delivery or health plan setting.

• Formally trained with a minimum of 7 years of experience in quality improvement methods, preferably Model for Improvement, including deep understanding and experience leveraging statistical process control (SPC) and run charts to drive iterative improvement. 

• 7+ years of experience leveraging clinical informatics in at least one (1) major Electronic Health Record system (athenaHealth, eCW, Epic, Cerner)

Preferred Qualifications:

• Exquisite ability to work cross-functionally with diverse clinical and non-clinical stakeholders including physicians, nurses, administrative staff, clinical informatics, data scientists, as well as Product, Commercial, and other business leaders.

• Experience working with NCQA HEDIS measures and Medicare Advantage Stars program

• Comfortable manipulating, analyzing, and synthesizing data as well as reporting out results through clear and compelling visual presentations (Microsoft Excel, Word, PowerPoint)

• Able to work independently, problem solve, and prioritize deadlines, particularly in a dynamic and evolving virtual care delivery setting.  For novel improvement projects, manual EHR chart review may be required. 

• Track and communicate progress; quickly escalate barriers to performance

• Exemplary written and verbal communication and project management skills with exceptional attention to detail.

• Telehealth experience

This is a remote position within the U.S., with some limited travel anticipated to be quarterly at most.    

The base salary range for this position is $120,000 - $140,000. In addition to a base salary, this position is eligible for a performance bonus and benefits (subject to eligibility requirements) listed here: Teladoc Health Benefits 2025. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for all full-time positions.

About Us

Teladoc Health is the global virtual care leader, offering the only comprehensive virtual care solution spanning telehealth, expert medical, and licensed platform services. Teladoc Health serves the world's leading insurers, employers, and health systems and helps millions of people around the world resolve their healthcare needs with confidence.

Teladoc Health will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future.