Behavioral Health Clinical Quality Analyst Senior
Core
Develops and conducts complex behavioral health quality studies by analyzing data patterns, performing on-site provider audits, and preparing for regulatory oversight.
Role type
Senior Clinical Quality Analyst (Behavioral Health)
Builds
Quality management processes, audit tools, provider manuals, and corrective action plans for behavioral health providers.
Domain
Healthcare / Behavioral Health / Clinical Quality Improvement
Required skills
Behavioral health clinical quality improvement, on-site provider auditing, regulatory compliance, data analysis, policy and procedure development, corrective action planning, training and orientation
Preferred skills
MS/MA degree, CPHQ or HCQM certification, provider education experience, data measurement and improvement analysis
Technologies
Audit tools, QM coalition reporting systems
Responsibilities
Conduct behavioral health provider on-site audits, analyze data patterns for complex quality studies, complete quarterly performance reports, provide feedback to practitioners, prepare for oversight audits, write policies and procedures, coordinate regulatory audit documentation, develop audit tools and provider manuals, conduct new hire training
Seniority
Senior, hands-on IC