Job Title: Behavioral Health Quality Improvement Specialist
Location: Remote, United States
Job Type: W2 Contract, Part Time
Expected Hours per Week: 20–24
Schedule: Flexible (Part-Time)
Pay Range: $40 per hour
Position Description:
This role is responsible for facilitating clinical quality improvement projects, audits, and reporting within a behavioral health managed care environment. The specialist will lead provider and member outreach initiatives, analyze program effectiveness, and support strategies that improve quality of care and cost outcomes. This is a 100% remote role focused on outreach support with no travel or field visits required.
Key Responsibilities:
- Facilitate and monitor assigned clinical quality improvement projects, audits, and reporting initiatives.
- Conduct member and provider outreach to support quality programs and regulatory compliance.
- Analyze data and statistical reports to evaluate program effectiveness and identify improvement opportunities.
- Collaborate with providers, members, and internal teams to implement and track quality initiatives.
- Assist in development of QI program documents including work plans, evaluations, and reports.
- Ensure compliance with accreditation standards, government regulations, and contractual requirements.
- Support population health programs through research, assessments, and data collection tools.
- Maintain ongoing documentation for audits, reporting, and accreditation reviews.
- Participate in internal and external meetings related to quality improvement and managed care initiatives.
- Coordinate with behavioral health providers and state agencies on program performance and initiatives.
Required Qualifications:
- Active independent behavioral health license (LPC, LCSW, or LCPC)
- 3+ years of clinical practice experience
- 2+ years of experience in utilization management, case management, quality improvement, or project management
- Experience with member and/or provider outreach or training
- Strong verbal and written communication skills
- Data analysis experience
- Proficiency in Microsoft Word and Excel
Preferred Qualifications:
- Behavioral health or managed care experience
- Quality improvement or project management experience
- Experience working with regulatory/accreditation standards
Top Skills:
- Behavioral Health Licensing (LPC, LCSW, LCPC)
- Quality Improvement / Clinical Auditing
- Member & Provider Outreach
- Managed Care / Utilization Management
- Data Analysis & Reporting
- Regulatory Compliance
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