Behavioral Health QI Lead | Data-Driven Care Improvement

VNS Health; New York, Northern (NY, KY); Hybrid; USD 93,000 - 117,000; Full time

Benefits offered by this job

Referral bonus

Generous PTO & holidays

Health insurance

Retirement matching

Wellness programs

FSAs

Tuition reimbursement

Career advancement

Internal mobility & CEU credits

Job summary

VNS Health, a long-standing New York nonprofit health care organization, seeks a Quality Improvement professional to support interdepartmental QI initiatives, analyzing outcomes and aligning programs with DOH, CMS, and NCQA standards.

You will collaborate with Care Management, Utilization Management, Provider Relations, and Analytics to improve member care, transitions, and equity, while driving BH provider engagement and performance improvement.

Qualifications

• Master's degree in Social Work or behavioral health field required.
• License and current registration as LCSW/LMFT/LMHC/LPC or Licensed Psychologist in NY/NJ required.
• Minimum five years in health plan or healthcare setting; four years quality improvement experience.

Responsibilities

• Supports BH provider engagement using performance data to drive improvements for VNS Health members.
• Drives year-over-year BH performance improvement through education, coaching, and data.
• Builds strong relationships with BH providers and supports improvements in quality, access, and outcomes.
• Collaborates with clinical, quality, and network teams to advance HEDIS performance and goals.
• Links providers across care levels to improve transitions and continuity of services.
• Partners to operationalize programs, tools, and online resources to improve BH quality outcomes.
• Identifies opportunities for new BH initiatives and supports planning, implementation, and evaluation.

Skills

Communication

Group facilitation

Data analysis

Quality improvement

Education

Master's degree in Social Work

Tools

PDSA

LEAN

Six Sigma

Job description

VNS Health, a long-standing New York nonprofit health care organization, seeks a Quality Improvement professional to support interdepartmental QI initiatives, analyzing outcomes and aligning programs with DOH, CMS, and NCQA standards.

You will collaborate with Care Management, Utilization Management, Provider Relations, and Analytics to improve member care, transitions, and equity, while driving BH provider engagement and performance improvement.