Quality Specialist Jobs

About The Position

Requirements

• Excellent communication skills (oral & written)
• Working knowledge of standard concepts, practices, procedures & regulations of behavioral healthcare industry, including state & federal requirements
• Knowledge of Community Mental Health services in the state of Kansas
• Ability to analyze data, generate reports, and recommend strategies that reflect an adherence to standards, outcomes and efficiencies
• Demonstrated ability to work with highest level of confidentiality and business ethics in relation to organizational systems access
• Familiarity and knowledge of data reporting systems for Kansas mental health providers
• Demonstrated ability to work in a collaborative environment; ability to work as a business partner with all departments and use organization goals, philosophy, mission, vision and values as operating drivers in all recommendations & decisions
• Ability to manage priorities and maintain expected progress with a variety of assignments
• Must have innovative solutions to ensure continuous quality improvement
• Ability to evaluate and assess effectiveness of improvement tools & processes, making recommendations to further advance the organization
• Must be able to safely perform essential job functions, with or without reasonable accommodations
• Minimum of 5 years of experience in a business services or financial management role
• Experience in a supervisory or management position, ideally within a health services or similar setting

Nice To Haves

• Three or more years of experience in developing data reports in collaboration with managers and other team members.
• Experience with CCBHC performance measures and reporting is a plus.
• Clinical background or licensure is a plus.

Responsibilities

• Coordinate and maintain the agency’s CQI plan in alignment with CCBHC standards.
• Track, analyze, and report on quality indicators, outcome measures, and performance benchmarks.
• Facilitate CQI meetings, workgroups, and improvement initiatives.
• Support Plan-Do-Study-Act (PDSA) cycles and other quality improvement methodologies.
• Assist departments in identifying improvement opportunities and monitoring corrective action plans.
• Collect, validate, analyze, and report clinical, operational, and financial data related to CCBHC performance measures.
• Develop dashboards, scorecards, and routine reports for leadership, teams, and external reporting.
• Support state, federal, and grant reporting requirements related to CCBHC services.
• Monitor data quality and work with staff to resolve documentation or data integrity issues.
• Translate data findings into actionable insights for clinical and administrative teams.
• Conduct utilization reviews to assess medical necessity, appropriateness of services, and adherence to clinical standards.
• Monitor service utilization trends, access to care, timeliness, and service intensity.
• Identify patterns related to over- or under-utilization and collaborate with leadership on improvement strategies.
• Support audits related to utilization management, documentation, and compliance.
• Assist with development and refinement of utilization management policies and procedures.
• Support compliance with CCBHC certification criteria, performance measures, and reporting requirements.
• Assist with preparation for site visits, audits, and reviews.
• Maintain documentation related to quality management and compliance activities.
• Stay current on CCBHC regulations, guidance, and best practices.
• Stay current on CMHC expectations and support compliance with KDADS Participating Agreement.