Practice Transformation Advisor - Behavioral Health
About The Position
The Behavioral Health Practice Transformation Advisor (PTA) serves as the primary provider-facing resource for partnering with behavioral health providers, community mental health centers, health systems, and integrated delivery organizations. The role supports improvements in quality performance and adoption of evidence-based best practices, while also advancing behavioral health data exchange capabilities, including ADT feed use, clinical data sharing, supplemental data acquisition, and reporting workflows. The position aims to improve behavioral health quality measures, provider accountability, and transition-of-care management across inpatient, emergency department, and outpatient settings. It serves as a liaison for behavioral health performance initiatives and supports providers’ participation in data exchange to enable timely member intervention and performance monitoring. Expected results include improved follow-up after hospitalization and emergency department visits for mental illness and substance use disorder, increased provider participation in data exchange, better access to real-time admission, discharge, and transfer notifications, stronger adoption of quality improvement strategies, and improved identification and intervention for high-risk members. This is a remote role, and the candidate must reside in Louisiana. A secure home network is required, and travel to provider sites may be requested, though it is rare. The position is full-time, with 40 anticipated weekly hours.
Requirements
- Must reside in Louisiana.
- 5–7 years of experience in healthcare quality improvement, provider relations, or a related role.
- In-depth knowledge of HEDIS, healthcare regulations, clinical operations, quality standards, and performance metrics.
- Licensed Allied Health Professional, Licensed Registered Nurse, or LPN.
- Strong analytical and problem-solving skills, including the ability to interpret complex data sets and identify improvement opportunities.
- Excellent communication, presentation, and interpersonal skills to collaborate with and influence provider groups, executives, team members, and stakeholders at all levels.
- Experience designing and delivering training programs or educational initiatives.
- Proficiency in data management and analysis tools, such as Excel or data visualization software.
- Familiarity with electronic health record systems and healthcare information technology.
- Detail-oriented and organized, with the ability to manage multiple projects simultaneously.
- Ability to work independently, demonstrate initiative, and drive results in a fast-paced environment.
- Secure home network and familiarity with Microsoft Office products and VPN.
- Willingness to travel to provider sites as needed; travel is rare but may be required.
- Bachelor’s degree or equivalent experience, clinical training, and licensure.
Nice To Haves
- Coding, provider-facing, clinical, or provider practice experience.
- Certified Six Sigma Green Belt.
- Certified Professional in Healthcare Quality (CPHQ) or equivalent.
Responsibilities
- Partner with behavioral health providers, community mental health centers, health systems, and integrated delivery organizations to improve quality performance and adoption of best practices.
- Drive improvement in behavioral health quality measures and support provider adoption of evidence-based behavioral health workflows.
- Strengthen provider accountability for quality performance.
- Improve transition-of-care management between inpatient, emergency department, and outpatient settings.
- Serve as the provider-facing liaison for behavioral health performance initiatives.
- Support implementation and optimization of ADT feed participation with behavioral health and hospital providers.
- Improve access to timely clinical information for intervention and follow-up activities.
- Advance interoperability and data-sharing capabilities across the behavioral health provider network.
- Support improved follow-up after hospitalization for mental illness and after emergency department visits for mental illness and substance use disorder.
- Enhance provider engagement and practice adoption of quality improvement strategies.
- Help identify and support intervention for high-risk members.
Benefits
- Medical coverage.
- Dental coverage.
- Vision coverage.
- Paid time off.
- Retirement savings options.
- Wellness programs.
- Other resources based on eligibility.
- Eligible for a CVS Health bonus, commission, or short-term incentive program.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
