Healthcare Quality & Performance Improvement Specialist

Community Behavioral Health; Philadelphia (Philadelphia County); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

403B Retirement Plan

PTO/Sick Days

Wellness Program

Employee Assistance Program

Tuition Reimbursement

Commuter Benefits

Flexible Spending

Family Planning Benefits

Job summary

Community Behavioral Health seeks a Quality Management Specialist to support daily quality processes, track incidents, and analyze trends. You will help coordinate provider activities and ensure proper documentation for quality improvement initiatives.

The role requires a Master's degree in a behavioral health or related field and at least three years in healthcare quality management. Philadelphia residency is required.

Qualifications

• Master's degree required in behavioral health, healthcare or social sciences.
• Minimum 3 years post-graduate experience with at least 2 years in health care or quality management.
• Proficiency in MS Office and strong written/verbal communication.

Responsibilities

• Assist in tracking and trending of all quality issues and produce trend analyses.
• Investigate clinical quality issues and complete required reports and documentation.
• Facilitate provider meetings, conduct on-site visits, monitor Quality Improvement Plan submissions, and issue provider letters.
• Assist with coding Significant Incident Reports and determine follow-up level.

Skills

Microsoft Office

Written & verbal communication

Medical necessity criteria

Customer service

Training & facilitation

Interpersonal skills

DBH and DHS systems

Education

Master's degree in behavioral health/healthcare/social sciences

Job description

Community Behavioral Health seeks a Quality Management Specialist to support daily quality processes, track incidents, and analyze trends. You will help coordinate provider activities and ensure proper documentation for quality improvement initiatives.

The role requires a Master's degree in a behavioral health or related field and at least three years in healthcare quality management. Philadelphia residency is required.