Behavioral Health Clinical Quality Audit Analyst, Senior
Company: Idaho State Job Bank
Location: Boise
Posted on: January 27, 2023
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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
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Keywords: Idaho State Job Bank, Boise , Behavioral Health Clinical Quality Audit Analyst, Senior, Professions , Boise, Idaho
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