Behavioral Health Quality & Compliance Specialist

Integratedservice; Gallipolis (OH); On-site; USD 57,000 - 70,000; Full time

Benefits offered by this job

Medical

Vision

Short-term Disability

Long-term Disability

401K w/ Employer Match

Employee Assistance Program (EAP)

Job summary

Integrated Services for Behavioral Health is seeking a Quality Specialist to drive data-driven quality improvement, ensure regulatory compliance, and support audits across the organization. The role collaborates with clinical, operational, and administrative staff to monitor performance metrics and promote a culture of continuous improvement in healthcare delivery.

The ideal candidate has a Bachelor’s degree in a related field, 2+ years of healthcare quality experience, and proficiency with EHRs

Qualifications

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

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.
• All other duties as assigned

Skills

Quality improvement

Data analysis

EHR proficiency

Regulatory compliance

Lean Six Sigma

PDSA cycles

Healthcare quality

Communication

Team collaboration

Education

Bachelor's degree in public health/health administration/psychology/social work/nursing

Master's degree in healthcare administration/public health/social work or related field

Tools

Electronic Health Records

Quality reporting tools

Job description

Integrated Services for Behavioral Health is seeking a Quality Specialist to drive data-driven quality improvement, ensure regulatory compliance, and support audits across the organization. The role collaborates with clinical, operational, and administrative staff to monitor performance metrics and promote a culture of continuous improvement in healthcare delivery.

The ideal candidate has a Bachelor’s degree in a related field, 2+ years of healthcare quality experience, and proficiency with EHRs