Clinical Quality Analyst
Core
Ensuring quality medical and clinical processes in behavioral health care through audits, compliance monitoring, and incident analysis.
Role type
Clinical Quality Analyst
Builds
Quality assurance processes, compliance documentation, and incident response frameworks for virtual behavioral health treatment.
Domain
Behavioral health / Mental health / Healthcare compliance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Healthcare auditing, knowledge of state and federal patient confidentiality laws, ASAM criteria, mental health recovery model, LOC guidelines, behavioral health treatment plans, The Joint Commission Behavioral Health Standards, HIPAA compliance, Microsoft Office proficiency
Preferred skills
Behavioral health operations experience, degree in behavioral health
Responsibilities
Audit assigned medical and clinical records daily, complete monitoring reports summarizing audit results and trends, provide education and feedback based on audit findings, lead or participate in quality improvement processes, assist in developing cross-company documentation procedures, notify the Quality and Safety Manager of medical record integrity matters, submit medical records within required timeframes, provide accurate reporting on compliance initiatives, participate in state, Medicaid, payer, and accreditation survey-preparedness initiatives, assist with incident reporting and serious incident analysis, support corrective action plans, support Quality and Safety readiness for new state or program launches
Seniority
Mid-level, individual contributor
