Quality & Safety Analyst - SUD Treatment

Basic Functions

The Quality & Safety Analyst provides hands-on analytical and administrative support for the organization’s quality, compliance, and safety infrastructure. Analysts spend significant time at program locations—reviewing records, supporting staff through changes, and collecting ideas from clinicians and clients about how to improve the experience of working in and receiving care from the organization.

Responsibilities

• Monitor client files across all programs for completeness, accuracy, and compliance with applicable regulatory, contractual, and accreditation documentation standards, including verification that counselors are employing person-centered treatment and evidence-based practices.
• Identify documentation deficiencies and provide timely, constructive feedback directly to counselors; collaborate on solutions and escalate trends to the Quality & Safety Manager.
• Collaborate with the Health Information Systems Analyst to develop and maintain systematic documentation compliance reporting, including timeliness tracking; distribute reports to program leadership on a regular cadence.
• Monitor treatment hour delivery to ensure clients receive required service hours per level of care and that daily clinical service minimums are met; flag discrepancies to program managers.
• Coordinate and participate in peer review processes: chart pulls, documentation of findings, and follow-up with clinical supervisors.
• Maintain organized evidence files for CARF accreditation and regulatory requirements; support preparation for and follow-up from accreditation surveys, compliance monitoring visits, and licensing reviews.
• Serve as a contributing team member on quality improvement projects (QIPs): data collection, analysis, reporting, and applying CQI methods (PDSA cycles, process mapping).
• Assist in administering Client Satisfaction Surveys, post-discharge Follow-Up Surveys, and the annual Treatment Perceptions Survey; compile results and help develop action plans.
• Gather feedback from staff and clients at program locations about how to improve the look, feel, and experience of the organization; bring ideas back to the quality team for action.
• Support implementation of policy, procedure, and workflow changes by working directly with staff at program sites—providing guidance, answering questions, and helping teams adapt.
• Assist program managers and clinical supervisors in identifying training needs related to documentation, compliance, and quality standards.
• Draft, edit, and maintain policies, procedures, SOPs, and training documents. Provide administrative support for the Quality Management Committee.
• Navigate and utilize the EHR platform to conduct reviews, pull reports, and verify documentation compliance.
• Support data integrity efforts in outcome reporting systems.

Skills / Knowledge

• Proficiency in Microsoft Office (Word, Excel, Outlook); ability to create reports and manage data.
• Strong written communication skills (work and / or writing sample required with application).
• Detail orientation with the ability to manage multiple tasks and deadlines.
• Ability to provide feedback to colleagues in a professional, collaborative, and non-punitive manner.
• Must have valid driver’s license or willingness to alternatively commute between sites, sometimes in the same day, within reasonable timeframes.
• Preferred: Familiarity with ASAM Criteria, person-centered treatment planning, and evidence-based practices (e.g., Motivational Interviewing, CBT).
• Preferred: Experience with CARF or other accreditation processes; EHR platform proficiency.
• Preferred: Project management certification or coursework (PMP, Lean Six Sigma).

Education / Training

• Required: Associate’s degree in a relevant field plus 1+ year of related work experience; OR Bachelor’s degree in a relevant field.
• PREFERRED: Bachelor’s degree in Healthcare Administration, Public Health, or related field.
• PREFERRED: Registered or Certified SUD Counselor (CAADE, CADTP, or CCAPP) – clinical background provides critical context for documentation review and credible staff engagement in this specialized field.

Experience

Experience in substance use disorder treatment strongly preferred.

Position Reports

To Quality & Safety Manager and Director of Quality & Innovation

Position Type

Full-Time, In-Person, Non-Exempt, Hourly Pay Range $28.00 - $34.00 / Hour

Benefits

• 100% Paid Blue Shield Trio Plan Medical Insurance Option
• 80% Paid Blue Shield Access+ Plan Medical Insurance Option
• 80% Paid Kaiser Medical Insurance Option
• 80% Paid Dental Insurance
• Vision Insurance
• Paid time off (10 Paid Sick Days Annually, 12 Paid Holidays Annually, Paid Vacation)
• Educational Assistance Tuition Reimbursement Program
• 401(k) 4% Employer Match
• 100% Paid $25,000 Life Insurance Plan with option to voluntarily increase coverage

Special Conditions

Must be willing to undergo random drug screenings.