Responsibilities

The Quality Management Analyst Sr. Behavioral Health will conduct behavioral health provider on-site audits, ensuring compliance with quality management requirements and external review organizations. They will implement quality measures of network adequacy, resolve and track quality of care complaints, prepare corrective action plans, conduct behavioral health audits of QM processes, write policies and procedures, assist with the development of provider manuals and guidelines, coordinate information for regulatory audits, and participate in the development of audit tools. Furthermore, the role involves completing quarterly Quality Management reports, assessing provider satisfaction, and conducting new hire orientation and training sessions, as well as traveling to worksites and other locations as needed.