Jobs · Quality Assurance · Colorado

Behavioral Health Clinical Quality Analyst Senior

Elevance Health · Denver, CO · 1 mo ago
Quality Assurance$80k–$121k/yrFull-time
We need to output HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title as heading. Must not include Job ID etc. Must preserve all substantive info, remove boilerplate. We need to parse the posting. Key info: - Anticipated job Posting End Date: 09/27/26 (maybe metadata, could be minor metadata; we can drop or put in short p). Probably drop. - Location: Denver, CO. - Hybrid: associates to be in-office 1-2 days per week, fostering collaboration... Must be available to travel to different provider's offices as needed. Note about commuting distance. - Schedule: This position will work 5 days per week on 8-hour shifts. Candidate should have availability from Monday through Friday within the operational hours of 8:00 am - 5:00 pm (MST). Additional hours, including weekends or holidays, may be required based on operational needs. - Role: The Behavioral Health Clinical Quality Analyst Senior is responsible for developing and conducting more complex behavioral health quality studies by analyzing data and patterns according to department criteria, external review organizations, and other regulatory agencies. - How You Will Make An Impact. Primary duties may include, but are not limited to: list of duties. - Minimum Requirements: Requires a BA/BS in a behavioral health related field and a minimum of 3 years behavioral health clinical and managed care or clinical quality improvement experience; or any combination of education and experience which would provide an equivalent background. - Preferred Skills, Capabilities, And Experiences: MS/MA degree is preferred. Certified Professional in Healthcare Quality (CPHQ) by the National Association for Healthcare Quality, or be Certified in Healthcare Quality and Management (HCQM) by the American Board of Quality Assurance and Utilization Review Physicians or similar certifications may be required according to state location. Previous experience conducting audits and educating providers is highly preferred. Experience analyzing data and measuring improvements is preferred. - For candidates working in person or virtually in the below locations, the salary* range for this specific position is $80,432.00 to $120,648.00. Location: Colorado - 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). - Then a lot of boilerplate about equal pay, etc. We can keep benefits section summarizing benefits: comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution. Also mention medical, dental, vision, short and long term disability benefits, 401(k)+match, stock purchase plan, life insurance, wellness programs and financial education resources (these appear later in "We offer a range of market-competitive total rewards..."). We need to preserve ALL substantive information; do not invent or summarize away detail. So we need to include all benefits mentioned: comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution, medical, dental, vision, short and long term disability benefits, 401(k)+match, stock purchase plan, life insurance, wellness programs and financial education resources. Also merit increases, paid holidays, Paid Time Off, incentive bonus programs (unless covered by a collective bargaining agreement). Also mention "Hybrid Workforce Strategy" etc. But that's more about work arrangement; we already have schedule/hybrid info. - Also mention vaccination requirement: require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If not vaccinated, offer rescinded unless acceptable explanation. Also follow relevant laws. - EEO statement: we should remove boilerplate EEO/equal-opportunity/scams etc. The instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. So we should remove the EEO paragraph. Also remove "Who We Are", "How We Work", etc if they are boilerplate? Those contain substantive info about company values, but might be considered boilerplate? The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. "Who We Are" and "How We Work" might be considered generic company description; not explicitly listed as boilerplate to remove, but they might be considered fluff. However we need to preserve ALL substantive information; do NOT invent or summarize away detail. The "Who We Are" and "How We Work" sections contain substantive info about the company's mission, values, culture, total rewards. Are those considered substantive? Likely yes, they are part of job posting describing the employer. The instruction didn't say to remove company overview. Only remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. So we can keep "Who We Are" and "How We Work" as they are not those categories. However they may be considered boilerplate but not explicitly prohibited. Safer to keep them? The instruction says "Prefer a few substantive sections over many thin ones." So we might combine company overview into an "About the company" section? But we only have allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. No "About the company". So we cannot add a heading not in list. So we must fit that info into existing sections or drop it. Since we cannot create new headings, we may need to incorporate that info into existing sections like "About the role" or maybe "Responsibilities". But "About the role" is for role description, not company. Could we put company overview under "About the role"? Might be stretching. Better to omit company overview if not fitting allowed headings. The instruction: "Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It says e.g., implying those are examples, not exclusive? It says "Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." Likely they expect only those headings. So we should restrict to those. Therefore we need to map all substantive info into those sections. Thus we need sections: - About the role: could include role purpose, impact, hybrid work, travel, schedule? But schedule has its own section. So About the role could contain description of role, how you will make an impact, maybe hybrid work expectations. - Responsibilities: list of duties. - Requirements: minimum requirements. - Qualifications: maybe preferred skills/capabilities? Or we could treat Qualifications as preferred skills, certifications, etc. - Skills: maybe specific skills like data analysis, audit conduction, etc. But we have overlapping. - Benefits: benefits package. - Pay: salary range. - Schedule: work schedule details. We must not create sections with filler. So we need to ensure each heading has real content. Let's extract content: About the role: The role is Behavioral Health Clinical Quality Analyst Senior. Responsible for developing and conducting more complex behavioral health quality studies by analyzing data and patterns according to department criteria, external review organizations, and other regulatory agencies. Also mention hybrid work: associates to be in-office 1-2 days per week, fostering collaboration, flexibility, must be available to travel to different provider's offices as needed. Also note about commuting distance: candidates not within reasonable commuting distance from posting location(s) will not be considered unless accommodation. Also mention vaccination requirement? That's more about company policy; could be in About the role or maybe Benefits? Probably About the role. Responsibilities: list of duties from "Primary duties may include, but are not limited to:" then bullet list. Requirements: Minimum Requirements: BA/BS in behavioral health related field and minimum 3 years behavioral health clinical and managed care or clinical quality improvement experience; or any combination of education and experience which would provide an equivalent background. Qualifications: Preferred Skills, Capabilities, And Experiences: MS/MA degree preferred. CPHQ or HCQM certifications may be required according to state location. Previous experience conducting audits and educating providers highly preferred. Experience analyzing data and measuring improvements preferred. Skills: Could be specific skills like conducting audits, writing policies, developing provider manuals, coordinating collection, participating in design of audit tools, conducting QM coalition reports, new hire orientation, traveling, etc. But many of those are responsibilities. Maybe we separate skills as "data analysis, audit conduction, policy writing, training, travel". However we need to avoid duplication. Might be okay to have Skills section listing specific competencies: data analysis, audit conduction, policy/procedure development, training, travel coordination, etc. But we must preserve all substantive info; we can't omit details. If we put some details in Skills, we must still keep them elsewhere? The instruction: Preserve ALL substantive information; do NOT invent or summarize away detail. So we cannot drop any detail. If we put some details only in Skills and not elsewhere, that's okay as long as we keep them somewhere. Duplication is allowed? It says remove duplicated lines. So we should avoid duplicating same sentence. So we need to distribute details across sections without duplication. Thus we need to decide where each piece goes. Let's list all substantive info chunks: 1. Role purpose: developing and conducting more complex behavioral health quality studies by analyzing data and patterns according to department criteria, external review organizations, and other regulatory agencies. 2. Hybrid work: in-office 1-2 days per week, fostering collaboration and connectivity, flexibility to support productivity and work-life balance. Combines structured office engagement with autonomy of virtual work, promoting dynamic adaptable workplace. 3. Travel: Must be available to travel to different provider's offices as needed. 4. Commuting distance: candidates not within a reasonable commuting distance from posting location(s) will not be considered unless accommodation. 5. Schedule: 5 days per week, 8-hour shifts, availability Monday-Friday 8:00 am - 5:00 pm MST. Additional hours including weekends/holidays may be required based on operational needs. 6. Impact / How you will make an impact: (maybe same as role purpose) but we have list of duties. 7. Primary duties list: - Conducts behavioral health provider on-site audits researching behavioral health provider clinical quality issues. - Works on more complex studies in which analysis of situations or data requires an in-depth evaluation of various factors. - Completes quarterly progress/performance reports. - Provides feedback to behavioral health practitioners on performance. - Prepares department for oversight audits. - Prepares corrective action plans in response to oversight body's request. - Conducts behavioral health audits of QM processes and files. - Writes policies and procedures. - Assists with development of behavioral health provider manuals, audit tools, and guidelines. - Coordinates collection and organization of information and documents in preparation for regulatory audits. - Participates in development and design of audit tools, policies and procedures, and behavioral health provider manuals. - Completes quarterly Quality Management (QM) coalition reports for submission to regulatory bodies. - Conducts new hire orientation and on-the-job training sessions. - Travels to worksite and other locations as necessary. 8. Minimum Requirements: BA/BS in behavioral health related field + 3 years behavioral health clinical and managed care or clinical quality improvement experience; or equivalent combination. 9. Preferred: MS/MA degree preferred. CPHQ (National Association for Healthcare Quality) or HCQM (American Board of Quality Assurance and Utilization Review Physicians) certifications may be required according to state location. Previous experience conducting audits and educating providers highly preferred. Experience analyzing data and measuring improvements preferred. 10. Salary range: $80,432.00 to $120,648.00 for Colorado location. 11. Benefits:

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