Quality Specialist

About the role

We are seeking a Quality Specialist to support the development, implementation, and evaluation of quality improvement initiatives across our community-minded behavioral health organization. This individual will work collaboratively with clinical, operational, and administrative staff to monitor and improve performance metrics, ensure compliance with accrediting and regulatory bodies (e.g., CARF, Medicaid/Medicare), and promote a culture of continuous improvement in healthcare delivery.

Responsibilities

• Collect, analyze, and report data related to quality indicators, outcome measures, and client satisfaction surveys.
• Assist in the preparation of internal and external audits, including documentation review, chart audits, and regulatory surveys.
• Support compliance with accreditation and licensing standards (e.g., CARF, state Medicaid agency, MCOs, etc.).
• Support quality improvement projects, including Plan-Do-Study-Act (PDSA) cycles and root cause analyses.
• Implement quality improvement efforts in the OhioRISE program, ensuring compliance with policies and contractual obligations.
• Monitor and track corrective action plans (CAPs) and follow up on identified areas of improvement.
• Assist in developing and updating quality-related policies, procedures, training materials, and documentation tools.
• Participate in and help coordinate quality committee meetings, including agenda preparation, minutes, and follow-up activities.
• Develop dashboards and visualizations for internal reporting to track progress on quality and compliance benchmarks.
• Collaborate with clinical teams to ensure documentation and service delivery meet payer and regulatory requirements.

Minimum Requirements

• Bachelor’s degree in public health, Health Administration, Psychology, Social Work, Nursing, or related field.
• Master’s degree in healthcare administration, Public Health, Social Work, or related field preferred.
• At least 2 years of experience in a healthcare or behavioral health quality improvement setting.
• Experience with quality improvement methodologies (e.g., Lean, Six Sigma, PDSA).
• Experience using electronic health records (EHRs) and quality reporting tools.
• Experience with regulatory and accreditation requirements (CARF, Medicaid, Medicare, HIPAA, etc.).
• 2 years of experience in data analysis platforms.
• Strong analytical and critical thinking skills.
• Excellent written and verbal communication skills.
• Demonstrated ability to work collaboratively with interdisciplinary teams.
• Must be able to operate in an Internet-based, automated office environment.
• Knowledge of behavioral health service delivery systems and payers preferred.
• A certificate in healthcare quality (e.g., CPHQ, Lean Six Sigma) preferred.

Pay

$57,417.82 – $69,992.00 annually based on experience.

Benefits

• Medical
• Dental
• Vision
• Short-term Disability
• Long-term Disability
• 401K with Employer Match
• Employee Assistance Program (EAP) provides support and resources to help you and your family with a range of issues.