BH Clinical Quality Audit Analyst

Elevance Health • Atlanta, IN

6d • $34 - $51 • Remote

About The Position

BH Clinical Quality Audit Analyst Location: Selected candidate must reside within commutable distance to a PulsePoint. Virtual : This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care. The Behavioral Health Clinical Quality Audit Analyst will be responsible for conducting NCQA related clinical file reviews and developing, coordinating, implementing, and evaluating quality improvement activities including data and outcome measurements for clinical and quality programs and interventions.

Requirements

• Requires MS/MA degree in behavioral health or related field and a minimum of 3 years experience in quality improvement and/or behavioral health, risk management and/or utilization review in a managed care setting as well as process improvement; or any combination of education and experience which would provide an equivalent background.

Nice To Haves

• Experience with NCQA standards, data analysis and report development strongly preferred.
• Licensure preferred.

Responsibilities

• Designs and implements quality improvement studies.
• Analyzes data and prepares quality management reports in accordance with BH QM principles.
• Participates in intra-departmental teams to improve sustainable member outcomes.
• Assists in defining opportunities for improvement identified through analysis of trends.
• Assists with coordinating improvement activities that improve HEDIS and member satisfaction.
• Travels to worksite and other locations as necessary.

Benefits

• 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).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level