senior quality specialist resume example with 16+ years of experience

Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000,
Career Focus

Hospital Administrator seeking a position to develop and implement new and innovative health care improvement processes and procedures. Accountable professional with a focus on developing high standards of practice, evaluating patient care for effectiveness and implementing necessary changes to programs and policies. Specialist in process improvement and quality assurance systems. Resilient and accustomed to the integration of new health care delivery systems, restructuring of work, and an increasingly complex regulatory environment. Ability to liaise with various stakeholders to maximize operational efficiency through team building and leadership.

Expected in 2014 to to Master of Management | Health Care Administration National American University, Rapid City, SD GPA:

4.0 GPA

Expected in 2013 to to MBA | Human Resource Management National American University, Rapid City, SD GPA:

4.0 GPA

Expected in 2012 to to Bachelor of Science | Business Administration National American University, Rapid City, SD GPA:

Graduated Magna Cum Laude

3.88 GPA

Expected in 2010 to to Associate of Applied Science | Business Administration National American University, Rapid City, SD GPA:

Graduated With Distinction

3.88 GPA

Summary of Qualifications
  • Leadership/communication skills
  • Project management
  • Regulatory compliance
  • Quality assurance standards
  • Data collection and analysis
  • Technology savvy
  • Training and development
  • Polished communication skills
  • Exceptional organizational skills
  • Financial management
Professional Experience
07/2012 to Current Senior Quality Specialist Dupont De Nemours Inc. | Deepwater, MO,
  • Accountable for managing, conducting and maintaining credentialing and privileging processes for medical staff incumbents.
  • Ensure operations comply with accreditation standards, regulatory requirements, medical staff bylaws, industry trends and standard credentialing procedures.
  • Assisted in the design and implementation of standardized delineation of privilege forms for use throughout Northern California Kaiser facilities.
  • Allocate and manage available resources for departmental operations and facilitate medical services functions.
  • Designed and implemented an on-line, electronic medical staff program for applicants, chiefs, committee reviewers, and administrative personnel.
  • Provided thorough supervision for day-to-day operations of facility in accordance with set policies and guidelines.
  • Diligently monitor the QA (Quality Assurance) program to improve performance and ensure compliance with standards of care (accreditation and regulatory groups).
  • Created annual goals, objectives and budget and made recommendations to reduce costs.
09/2010 to 07/2012 Quality Analyst Common Spirit | Scottsdale, AZ,
  • Assisted in the evaluation and performance of practitioners and allied health professionals through data analysis and monitoring for quality of care issues.
  • Facilitated and collaborated with performance improvement projects for Critical Care ambulation (SAT/SBT), blood utilization, falls, and core measures (Pneumonia and Stroke).
  • Accurately processed a minimum of 20 pneumonia core measure audits and a minimum 5 stroke audits per month, in addition to completing 150 medicine peer review cases per year (12.5/month).
  • Analyzed QA/RM/UM variances from care paths, screening indicators, utilization focused studies and Medicare admission necessity and continued stay reviews to properly assess risk management and improve services.
  • Fostered interdisciplinary relationships by negotiation and consensus building to attain goals for all disciplines.
  • Kept abreast of advances in medicine, computerized diagnostic and treatment equipment, data processing technology, government regulations, health insurance changes and financing options.
03/2008 to 09/2010 Administrative Assistant Rsm | Greensboro, NC,
  • Managed daily office operations and maintenance of equipment for Quality Management and Medical Staff Services.
  • Created and maintained spreadsheets using advanced Excel functions and calculations to develop reports and lists.
  • Created and maintained computer- and paper-based filing and organization systems for records, reports and documents.
  • Designed agendas, minutes, tracking logs, algorithms, organizational charts, reports and presentations for up to 6 committees per month.
  • Managed department finance's for billing, travel and supplies to ensure budgetary compliance with organizational standards.
  • Maintained and coordinated executive and senior management vacation, day-to-day meeting and travel schedules.
  • Audited credentialing processes for accuracy, compliance, and timeliness.
06/2006 to 03/2008 Community Development Coordinator Minnesota City Jobs | Arlington, MN,
  • Planned and implemented HOPE VI program components for homeownership, funding, Section 3, MBE/WBE initiatives, human services and management systems.
  • Secured funding for remediation, homeownership, and down payment assistance in excess of $5 million for the HOPE VI program.
  • Prepared and submitted annual reports on the finances and administrative activities of the HOPE VI program to the Department of Housing and Urban Development (HUD).
  • Identified, developed and evaluated marketing strategies based on knowledge of company objectives and market trends.
  • Collaborated with marketing and communications teams on standardization, design and production of marketing materials.
07/2004 to 06/2006 Housing Program Coordinator III Housing Authority Of The City And County Of Fresno | City, STATE,
  • Interpret Federal regulations, analyze, audit and assess the department for regulatory program compliance. Manage, maintain and transmit mandatory compliance data to HUD.
  • Research and analyze regulations in relation to the housing program administrative plan, policies and procedures. Track and trend compliance data for executive management and provide solutions to potential or identified areas of concern.
  • Identify and rectify systemic issues by performing a variety of internal audits related to housing components under the Section Eight Management Assessment Program (SEMAP).
  • Prepare and provide in-depth staff training when implementing or clarifying policies and procedures. Administered follow-up courses to ensure success post-training.
  • Continued to support additional functions throughout the department and was accountable for personal work load with minimal supervision.
  • Standard Applications: Windows 7, Microsoft Office 2010 (Word, Excel, PowerPoint, Access, Visio, Project, and Publisher), Lotus Notes
  • Data Analysis Software: POM-QM, InfoView/Crystal Reports, Statit
  • Health Care Specific: EPIC Health Connect, MIDAS, MSOC/MSOW, eDelineate
  • Forms and Publishing Software: Adobe LiveCycle Designer ES4, Adobe Professional X

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Resume Overview

School Attended

  • National American University
  • National American University
  • National American University
  • National American University

Job Titles Held:

  • Senior Quality Specialist
  • Quality Analyst
  • Administrative Assistant
  • Community Development Coordinator
  • Housing Program Coordinator III


  • Master of Management
  • MBA
  • Bachelor of Science
  • Associate of Applied Science

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