Clinical Quality Analyst

Charlie Health; United States; Hybrid; USD 57,000 - 75,000; Full time

Benefits offered by this job

Comprehensive benefits

Job summary

Charlie Health seeks a Clinical Quality Analyst to ensure quality medical and clinical processes meet company, state, accreditation, and federal guidelines. This role performs audits, analyzes trends, and collaborates with clinical teams to resolve findings and drive improvements.

You will review incident reports, assist with corrective action plans, participate in survey readiness, and support new state or program launches while maintaining strict confidentiality and compliance practices.

Qualifications

• 2+ years of healthcare auditing experience.
• Knowledge of state and federal patient confidentiality laws (HIPAA).
• Knowledge of The Joint Commission Behavioral Health Standards.
• Familiarity with ASAM criteria and LOC guidelines.

Responsibilities

• Audit assigned medical and clinical records daily and meet productivity expectations.
• Collaborate with clinical teams to resolve findings and drive improvements.
• Review incident reports and support serious incident analysis and corrective action plans.
• Participate in survey preparedness and support new state or program launches.
• Develop and maintain documentation procedures to support clinical compliance.
• Provide accurate reporting to the Director of Quality, Safety, and Compliance Operations.

Skills

Healthcare auditing

HIPAA compliance

ASAM criteria

Regulatory knowledge

Education

Bachelor's or Master's in Behavioral Health

Tools

Microsoft Office

Job description

Why Charlie Health?

Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.

Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection- between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home.

As a rapidly growing organization, we're reaching more communities every day and building a team that’s redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we’d love to meet you.

About the Role

We're a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you’re inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way,

The Clinical Quality Analyst is responsible for ensuring quality medical and clinical processes are conducted in accordance with company, industry, accreditation, state, and federal guidelines. This person will perform and manage quality assurance and clinical audits related to medical and clinical functions for quality, accuracy, and consistency to ensure an efficient process. This person will collaborate with clinical teams to resolve identified findings and recognize trends or broader areas of risk. The Clinical Quality Analyst will also review incident reports, support serious incident analysis, participate in survey preparation, and assist with corrective action plans and new state or program launches. This person will be familiar with company policy and be able to develop and constantly evaluate workflow procedures to ensure documentation compliance. This position assists with the development and maintenance of system policies and procedures, knowledge base, process improvements, and system improvements.

Responsibilities

• Audit assigned medical and clinical records daily and meet established productivity expectations
• Apply audit criteria consistently and accurately
• Complete monitoring reports that summarize audit results, findings, and trends
• Provide education and feedback based on audit findings and identified opportunities for improvement
• Lead and/or participate in the implementation of quality improvement processes
• Provide direct support to clinical teams implementing quality improvement initiatives
• Assist in developing cross-company documentation procedures that support clinical compliance
• Collaborate with administration and other departments to develop effective interdepartmental procedures
• Notify the Quality and Safety Manager of matters related to the integrity of the medical record
• Maintain a high level of confidentiality related to audit reviews and findings
• Submit medical records as requested and within required timeframes
• Provide accurate reporting on compliance and quality initiatives
• Provide accurate reports to the Director of Quality, Safety, and Compliance Operations upon request
• Participate in state, Medicaid, payer, and accreditation survey-preparedness initiatives
• Assist with incident reporting, review, tracking, and investigation procedures, including serious incident analysis
• Support corrective action plans and complete required follow-up within established timeframes
• Support Quality and Safety readiness activities for new state or program launches
• Participate in special projects
• Perform other duties related to the position as assigned

Requirements

• 2+ years of experience in healthcare auditing
• Bachelors or master's degree in behavioral health or similar field preferred
• Healthcare or behavioral health operations experience preferred
• Strong knowledge of state and federal statutes regarding patient confidentiality laws
• Knowledge of ASAM criteria
• Knowledge of mental health recovery model and LOC guidelines
• Knowledge of behavioral health guidelines or assessments, treatment plans, and LOC
• Knowledge of The Joint Commission Behavioral Health Standards
• Ability to work with sensitive and/or confidential information
• Proficient in Microsoft Office, especially Word & Excel
• Basic understanding of applicable laws, regulations, industry standards, and related compliance issues, particularly regarding The Joint Commission and State accreditation
• Exhibits a comprehensive understanding of healthcare regulatory and compliance (HIPAA)
• Ability to function independently with minimal supervision
• Ability to collaborate effectively with clinical and cross-functional teams
• Please note that members of this team who live within 45 minutes of a Charlie Health office are expected to adhere to a hybrid work schedule

Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.

The total target base compensation for this role will be between $57,000 - $75,000 per year at the commencement of employment. Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. Further, cash compensation is only part of the total compensation package, which, depending on the position, may include other Charlie Health-sponsored benefits.

Note: We are not currently considering applicants in AK, CA, CO, CT, MA, ME, MN, NJ, NY, OR, WA and Washington D.C. for this position. #LI-REMOTE

Our Values

• Connection: Care deeply & inspire hope.
• Congruence: Stay curious & heed the evidence.
• Commitment: Act with urgency & don't give up.

Please do not call our public clinical admissions line in regard to this or any other job posting.

Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: https://www.charliehealth.com/careers/current-openings. Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent from @charliehealth.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services.

At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people.

Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.

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