Behavioral Health Quality Management Specialist II

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 #LI-JV1