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Quality Improvement Specialist I

Spectraforce Technologies

United States, North Carolina, Raleigh

500 West Peace Street (Show on map)

Nov 22, 2025

Position Title: Quality Improvement Specialist I

Work Location: Remote - Texas only

Assignment Duration: 3 months (Possibility of extension)

Work Schedule: 8-5, no OT

Work Arrangement: Fully Remote (Texas residents only)

Key Responsibilities:

* Primarily on the phone/emailing with medical offices/facilities confirming members and requesting medical records

* Documenting work in web portal and internal applications

* Performing claims research internally and web/google research to find most up-to-date provider information

* Other projects as assigned including work in Excel, OneDrive & Teams

Qualification & Experience:

* Required: High school diploma or GED

* Customer Service Experience - on the phone or in person - must be comfortable calling provider offices (ranked #1 must-have)

* Good computer skills with more than Beginner Excel

* Ability to work independently with minimal supervision/structure

* Medical Office experience or Medical Records Clerk background strongly preferred

* Disqualifier: Coder or Abstractor experience (HEDIS or otherwise)

Education/Certification	Required: high school diploma or GED	Preferred:
Licensure	Required:	Preferred:
Years of experience required: Disqualifiers: Coder or Abstractor - HEDIS or otherwise. This is NOT a coding position. This is a phone/email outreach & web research position. Additional qualities to look for: Medical Office experience, Medical Records Clerk
Top 3 must-have hard skills stack-ranked by importance	1	Customer Service Experience - on the phone or in person - must be comfortable calling provider offices
2	Good computer skills with more than Beginner Excel
3	Ability to work independently with minimal supervision/structure