Quality Monitoring Specialist

Ramey-Estep / Re-group•Ashland, KY

4d•$25

About The Position

The Quality Monitoring Specialist is responsible for transforming data into actionable insights that improve care delivery, compliance, and outcomes for individuals and families we serve. This role ensures accurate reporting across clinical, operational, and financial domains, helping the organization meet state and federal requirements while advancing program quality and equity in behavioral health services.

Requirements

High School Diploma or GED required.
Must be at least 21 years of age.
Strong organizational skills.
Excellent communication, problem-solving, and training facilitation skills.
Strong analytical skills.
Ability to work collaboratively with diverse teams and stakeholders.
High ethical standards and commitment to confidentiality.
Must maintain a valid Driver’s License and insurability.
Technical requirements include proficiency with Microsoft Word, Excel, PowerPoint, and any other applications used by the organization or regulatory agencies.
Ability to understand and relate to the needs of clients from diverse backgrounds.
Ability to read, write and converse in English.
Successful completion of a pre-employment drug screen.
Successful completion of a background screening.
Successful completion of a TB skin test or proof of a negative chest x-ray or other documentation.
Successful completion of Excellent Foundations.
Maintains 20 hours of Annual Training through Relias or other appropriate sources.
Attends all assigned training specific to the job assignment.

Nice To Haves

Two years of experience in data analysis, preferably in healthcare of behavioral health settings, preferred.

Responsibilities

Collect, clean, and validate data from electronic health records, data analytics dashboards, and other applicable databases.
Conduct statistical analyses to identify trends in service utilization, outcomes, and performance metrics.
Assist with the development of dashboards and reports to support leadership, staff, and board decision-making.
Prepare and submit required reports for CCBHC data measures, HEDIS measures, UDS, MIPS, and other regulatory frameworks.
Ensure data integrity and compliance with HIPAA, SAMSHA, and Kentucky state guidelines.
Collaborate with Outcomes Coordinator, Senior Director of Quality Excellence, and Chief Compliance Officer to monitor quality indicators and corrective action plans.
Partner with clinical teams to translate data into meaningful insights for care improvement.
Provide training and technical assistance to staff on data entry, reporting tools, and performance monitoring.
Support grant reporting and evaluation activities to demonstrate program impact.
Identify opportunities to streamline data collection and reporting processes.
Recommend evidence-based strategies for improving data-driven decision-making.
Stay current on behavioral health analytics, compliance standards, and emerging technologies.
Ensure transparency and accountability in reporting quality outcomes to internal teams, and when appropriate, external stakeholders.
Foster a culture of quality, safety, and continuous learning across the organization.
Mentor and guide staff in implementing quality improvement projects.
Maintain knowledge of applicable licensing, regulations, credentialing, and certification requirements, including BHSO, AODE, PCC, PCP, FQHC, and CCBHC.
Other duties as assigned.