Quality and Utilization Program Specialist - Healthcare Operations and Quality Management

Join Liberty Dental Plan's Quality Team as a Quality and Utilization Program Specialist

Liberty Dental Plan is seeking a highly skilled and dedicated Quality and Utilization Program Specialist to join our Quality Management team. As a pivotal member of our organization, you will play a crucial role in supporting the implementation and oversight of our Quality Management and Improvement Programs. This position offers a unique opportunity to drive quality initiatives, enhance organizational processes, and ensure seamless communication within the Quality team and across departments.

About Liberty Dental Plan

Liberty Dental Plan is a leading provider of dental benefits and services, committed to improving the oral health and well-being of our members. We strive to create a work environment that acknowledges and values all individuals, fostering a culture of inclusivity, diversity, and belonging. Our goal is to provide equitable access to healthcare and improve population health in the communities we serve.

Job Summary

The Quality and Utilization Program Specialist will be responsible for supporting the implementation and oversight of Liberty Dental Plans Quality Management and Improvement Programs. This position will drive quality initiatives, enhance organizational processes, and ensure seamless communication within the Quality team and across departments. The Specialist will coordinate key projects, facilitate meetings, and collaborate with internal and external stakeholders to achieve program goals and deliver measurable outcomes.

Key Responsibilities

• Assist in implementing quality management and improvement programs by collaborating with cross-functional teams to meet organizational goals, compliance requirements, and member satisfaction benchmarks.
• Generate detailed reports based on data analysis and propose actionable quality improvement initiatives to enhance processes and outcomes.
• Perform accurate and timely administrative intake activities, including the entry and management of QM-related data to ensure smooth operations and reliable reporting.
• Regularly review, update, and maintain company policies and procedures to reflect current regulations, organizational goals, and best practices.
• Collect and analyze data to monitor departmental service-level agreements (SLAs) and contractual obligations, identifying trends and recommending actions to improve performance.
• Handle sensitive and confidential information responsibly, communicating effectively in writing and verbally with internal departments, external clients, and dental professionals.
• Plan, schedule, and coordinate meetings, conferences, and teleconferences, ensuring efficient time management and resource allocation.
• Prepare, distribute, and manage agendas, meeting minutes, and action items to ensure accountability and follow-through on discussions and decisions.
• Establish and maintain organized electronic filing systems, enabling quick access to critical documents and data for operational needs.
• Protect all Protected Health Information (PHI) by adhering to Liberty Dental Plans Information Security Policies and maintaining compliance with HIPAA regulations.
• Promote a safe and productive working environment by following established safety guidelines and organizational protocols.
• Undertake other responsibilities as assigned, contributing to the overall success of the QM department and the organization.

Requirements and Qualifications

Education and Experience

• Minimum High School or GED required.
• 2 years of office administrative support experience, including a minimum of 1-year prior experience in dental or healthcare.

Specific Skills and Knowledge

• Strong project management skills with the ability to prioritize and manage multiple projects.
• Proficiency in MS Word, Excel, and Outlook.
• Analytical and problem-solving skills, including the ability to identify issues and develop solutions.
• Excellent written, verbal, and interpersonal communication skills.
• Strong organizational skills and attention to detail.
• Ability to type 30-45 WPM and apply critical thinking to complex issues.
• Experience in a Quality Management Department preferred.

What Liberty Offers

At Liberty Dental Plan, we believe that happy, healthy employees enhance our ability to assist our members and contribute more actively to their society. That's why we offer competitive and attractive benefit packages for our employees.

Benefits and Perks

• Competitive pay structure and saving options that help you reach your financial goals.
• Excellent 401k retirement benefits available, including employer match and ability to save via a Roth IRA, plus immediate vesting during Safe Harbor period and professional financial advice through Financial Engines.
• Medical insurance offered with low-cost premium for employee-only coverage, and Liberty subsidizes 50% of dependent coverage for eligible enrolled dependents.
• 100% employer-paid dental coverage for employees and eligible dependents.
• 100% employer-paid vision coverage for employee-only coverage, low-cost premium for dependents.
• Company-paid basic life and AD&D coverage; options to elect additional supplemental coverage.
• Long Term Disability coverage.
• Expansive wellness program, including company-wide Get Active challenges and Burn-A-Long with option for gym discounts.
• Employee Assistance Program.
• Generous vacation and sick leave with the ability to roll time over.
• 10 paid company holidays.
• Birthday Flex Holiday.
• Remote or Hybrid options for various positions.

Compensation

The base salary for this position is $20.93 - $28.25, exclusive of fringe benefits or potential bonuses. The final base salary compensation will be determined based on factors such as geographic location, skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as part of any final offer.

Why Join Liberty Dental Plan?

At Liberty Dental Plan, we are committed to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential.

How to Apply

If this role sounds like a perfect fit, don't hesitate. Apply today and let's build the future together.