Behavioral Health Quality Assurance Analyst (Management Analyst III)

Fairfax County•Fairfax (Ej27), VA

3d•Onsite

About The Position

This position works as a Management Analyst III – Behavioral Health and Intellectual Disability (ID)/ Developmental Disability (DD) Quality Assurance Analyst within the Office of Compliance & Risk Management. This position performs advanced analytical work to support quality assurance, regulatory compliance, internal auditing, and program evaluation across the CSB's behavioral health system. The position requires specialized knowledge of behavioral health quality assurance, evidence-based behavioral health and developmental disability (ID/DD) practices, and federal and state regulations governing mental health, substance use disorder, and ID/DD services. Responsibilities include conducting preventive, monitoring, and corrective quality assurance activities to strengthen regulatory compliance, improve documentation quality, reduce organizational risk, and prepare programs for external licensing reviews and payer audits. Also conducts targeted clinical documentation reviews with standardized quality-assurance tools to assess compliance with the Department of Behavioral Health and Development Services (DBHDS), Department of Medical Assistance Services (DMAS), Centers for Medicare & Medicaid Services (CMS), managed care organizations, federal behavioral health block grants, and DBHDS STEP-VA requirements. The position identifies documentation deficiencies, compliance risks, billing vulnerabilities, and operational issues that could lead to licensing citations, audit findings, or financial recoupments. Responsibilities include developing quality-assurance tools, conducting organization-wide analyses of documentation and compliance trends, preparing audit reports and performance dashboards, supporting corrective action planning, and evaluating services for alignment with evidence-based practices. Collaborates with clinical and administrative leadership to strengthen documentation standards, regulatory compliance, and continuous quality improvement across multiple behavioral health programs. This role exercises considerable independent judgment in interpreting regulatory requirements, assessing compliance risks, and recommending system-wide improvements. Unlike positions focused on a single program, this role analyzes trends across multiple service lines to identify enterprise-wide risks and opportunities to enhance quality, compliance, and operational performance. This position plays a critical role in protecting program licenses, supporting billing integrity, reducing regulatory and financial risk, and ensuring high-quality, compliant behavioral health services. Works under the direction of the Behavioral Health Manager. Functional areas: behavioral health, developmental disabilities, education, or healthcare The CSB offers a collaborative work environment that values professional growth, innovation, and continuous learning, along with competitive compensation, comprehensive benefits, and opportunities for career advancement. Since 1969, the CSB has provided behavioral health and developmental disability services that help individuals lead healthy, fulfilling lives, consistent with One Fairfax's goals.

Requirements

Graduation from an accredited four-year college or university with a bachelor's degree in field related to the assigned functional area.
Four years of professional work experience within the functional area.
Valid driver's license.
Completion of a criminal background check.
Completion of a Child Protective Services Registry check.
Completion of a driving record check.
Completion of sanction screening.
TB screening upon hire.

Nice To Haves

Master's degree in behavioral health, social work, psychology, nursing, public administration, healthcare administration, education, developmental disabilities, or a related field.
At least five years of progressively responsible professional experience in behavioral health and/or developmental disability services.
Experience in quality assurance, regulatory compliance, program licensing, medical record auditing, behavioral health documentation standards, evidence-based practices, Medicaid and payer requirements, corrective action planning, data analysis, and interpretation and implementation of state and federal behavioral health regulations.
Experience supporting organization-wide quality improvement initiatives and preparing programs for external audits and licensing reviews.

Responsibilities

Performs advanced analytical work to support quality assurance, regulatory compliance, internal auditing, and program evaluation across the CSB's behavioral health system.
Conducts preventive, monitoring, and corrective quality assurance activities to strengthen regulatory compliance, improve documentation quality, reduce organizational risk, and prepare programs for external licensing reviews and payer audits.
Conducts targeted clinical documentation reviews with standardized quality-assurance tools to assess compliance with various regulatory bodies and requirements.
Identifies documentation deficiencies, compliance risks, billing vulnerabilities, and operational issues.
Develops quality-assurance tools, conducts organization-wide analyses of documentation and compliance trends, prepares audit reports and performance dashboards, supports corrective action planning, and evaluates services for alignment with evidence-based practices.
Collaborates with clinical and administrative leadership to strengthen documentation standards, regulatory compliance, and continuous quality improvement across multiple behavioral health programs.
Exercises considerable independent judgment in interpreting regulatory requirements, assessing compliance risks, and recommending system-wide improvements.
Analyzes trends across multiple service lines to identify enterprise-wide risks and opportunities to enhance quality, compliance, and operational performance.
Independently designs, develops, and coordinates ongoing department programs and special projects.
Performs a wide range of professional-level management work for more than one broad administrative function including complex analysis and diverse project management in a lead capacity.
Coordinates and manages the work of administrative, para-professional, and/or professional-level staff in the day-to-day activities of selected projects.
Plans, organizes, and coordinates changes to the policies, procedures, or processes related to multiple administrative functions.
Plans and conducts or oversees studies or research activities to ensure program quality, determine unmet needs or ensure efficacy of existing programs.
Provides guidance, recommendations, and advice to departmental managers.
Serves on committees, task forces, and management teams to evaluate the effectiveness and efficiency of existing management/administrative systems.
Writes, edits, and finalizes reports and presentations and presents findings and recommendations to department senior managers.