Supports quality improvement and improvement risk management efforts by: assisting with the development of corrective action plan for areas of improvement identified through utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys; ensuring process improvements are compliant with established internal and external regulation requirements; conducting root cause analysis, failure mode and effect analysis, and other assessments in response to near misses and good catches in order to identify areas of improvement; and assisting with escalating high-risk issues and trends to appropriate entity for resolutions. Conducts data extraction, analyses, and presentations to support quality improvement efforts by: conducting descriptive and inferential statistics for quality improvement evaluations; creating charts, graphs, and narrative summaries of improvements utilizing multiple data reporting systems; preparing quality improvement metric reports at the individual level to demonstrate improvements and effectiveness of quality improvement programs into specified formats; and identifying and documenting trends, potential errors, and other analysis for further review and reports them to the supervisor.