Behavioral Health Clinical Quality Audit Analyst, Senior

Company: Idaho State Job Bank
Location: Boise
Posted on: January 27, 2023

Job Description:

Behavioral Health Clinical Quality Audit Analyst, Senior at Elevance Health in Boise, Idaho, United States Job Description Behavioral Health Clinical Quality Audit Analyst, Senior + Job Family: Medical and Clinical + Type: Full time + Date Posted:Jan 13, 2023 + Req #: JR40068 Location: + National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint Description Responsible for developing, overseeing, implementing, facilitating, and evaluating integrated health care (behavioral and physical health) quality management activities by analyzing data and patterns according to the Quality department criteria, client contract expectations, external review organizations, and other regulatory agencies. How will you make an impact: + Manages and coordinates quality performance measurement activities and Performance Management Action Plan (PMAP) processes. + Conducts behavioral health provider audits researching behavioral health provider clinical quality issues. Works on more complex studies in which analysis of situations or data requires an in-depth evaluation of various factors. + Completes regular progress/performance reports. + Provides feedback to providers on performance. + Supports the Quality department for oversight audits, including collection and organization of information and documents in preparation for regulatory audits. + Completes and presents Quality Management (QM) reports for submission to clients and regulatory bodies. Monday- Friday 8:30 am - 5 pm This position is REMOTE Candidate can sit anywhere in the US Minimum Requirements: + Requires a licensed health care professional with a minimum of 3 years of experience in managed care/health care quality improvement with advanced skills in process improvement (LEAN and CQI) and performance measurement, or any combination of education and experience which would provide an equivalent background. + Occasional travel may be required. Preferred Skills, Capabilities and Experiences: + MS/MA degree preferred. For candidates working in person or remotely in the below locations, the salary range for this specific position is $67,360 to $121,248 Locations: California; Colorado; Nevada; Washington State; Jersey City, NJ; New York City, NY; Ithaca, NY and Westchester County, NY In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered fo To view full details and how to apply, please login or create a Job Seeker account

Keywords: Idaho State Job Bank, Boise , Behavioral Health Clinical Quality Audit Analyst, Senior, Professions , Boise, Idaho