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Behavioral Health Clinical Quality Audit Analyst Sr-Health Equity, Diversity, Inclusion STRONGLY PREFERRED!!!

  • Job Family: MED > Clinical Quality
  • Type: Full time
  • Date Posted:
  • Anticipated End Date:
  • Reference: JR104515

Location:

  • CA, Cypress

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Description

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. 

BH Clinical Quality Audit Analyst Sr

Responsible for serving as a liaison with and overseeing the quality improvement activities/projects/programs for one or more states within a major line of business.  
Primary duties to include:

  • Leads state level quality strategy meetings, develops a quality plan, and ensures integration of quality into the overall business process.
  • Works with the clinical intervention team to design studies to identify barriers to medical interventions.
  • Ensures that study methodology is sound and appropriate reporting is in place.
  • Develops performance improvement plans and oversees the clinical quality improvement activities/projects to improve the quality of care for members.
  • Assures compliance with corporate QI work plans.
  • Assures that all QI activities are relevant to the needs of targeted population.
  • Maintains effective documentation of research programs to meet regulatory and Accreditation Standards.
  • Provides oversight to assure accurate and complete quantitative analysis of clinical data and presentation of data analysis results.
  • Participates in and provides input to the development of new product designs for major line of business.
  • Oversees the implementation of new initiatives.
  • Leads interactions with regulators or oversight entities.
  • Oversees quality improvement activities for the largest, most complex state programs.

**This position is a hybrid role.  Candidate must be willing to go into the office a minimum of 2 days a week.**

**Monday-Friday 8 am – 5 pm PST**

**Candidate identified for this role MUST reside Ventura or LA Counties.**

Minimum Requirements

  • Requires a BS in health administration, nursing, or a related clinical field; 4 years of health care quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

  • Current unrestricted license, certification in applicable field (i.e. CPHQ) and/or a MS in the health field (i.e. LCSW, LMFT, LPC, LMHC, Ph.D., Psy.D. or a nursing license with professional behavioral health experience.) is STRONGLY preferred.
  • Preferred experience with 'continuous quality improvement and performance measurement within a managed healthcare environment'.
  • BH Experience with Health Equity, Diversity, Exclusion strongly preferred.
  • Strong project management skills and interpersonal skills.
  • Ability to interface with stakeholders within various CA health plans strongly preferred.
  • Familiarity with MCAS metrics and/or SDoH or population health interventions is a PLUS.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $90,068 to $140,976

Locations:  California

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). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.  The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws .

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.


 

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.comfor assistance.

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