Quality Improvement Specialist, Behavioral Health

Integrated Services for Behavioral Health; Circleville (OH); On-site; USD 57,000 - 70,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Short-term Disability

Long-term Disability

401K w/ Employer Match

EAP

Job summary

Integrated Services for Behavioral Health in Central Ohio is seeking a Quality Specialist to support the development, implementation, and evaluation of quality improvement initiatives across the organization. You will collaborate with clinical, operational, and administrative staff to improve performance metrics and ensure regulatory compliance.

The role emphasizes data analysis, audits, and CAP tracking, with a focus on CARF, Medicaid/Medicare, and OhioRISE program requirements.

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.
• 2+ years of healthcare or behavioral health quality improvement experience required.
• Experience with Lean, Six Sigma, PDSA methodologies required.
• Experience with regulatory/accreditation requirements (CARF, Medicaid/Medicare, HIPAA) required.
• 2 years of data analysis platform experience required.
• Excellent written and verbal communication skills.
• Demonstrated ability to work with interdisciplinary teams.
• Proficient in Internet-based office environment.
• Knowledge of behavioral health payer systems preferred.
• CPHQ or Lean Six Sigma certification preferred.

Responsibilities

• Collect, analyze, and report data related to quality indicators and client satisfaction.
• Assist in audits, including documentation review and regulatory surveys.
• Support compliance with accreditation and licensing standards (CARF, Medicaid, HIPAA).
• Lead quality improvement projects, including PDSA cycles and root cause analysis.
• Ensure OhioRISE program quality and contractual compliance.
• Monitor CAPs and drive improvements.
• Develop and update quality policies, procedures, and training materials.
• Coordinate quality committee meetings and follow-up.
• Create dashboards for internal reporting on quality and compliance.
• Collaborate with clinical teams to meet payer requirements.

Skills

Analytical thinking

Communication skills

Team collaboration

Data analysis

Quality improvement

EHR proficiency

Regulatory knowledge

Internet-based office tools

Problem solving

Education

Bachelor’s degree in public health or related field

Master’s degree in healthcare administration or related field

Tools

EHRs

Quality reporting tools

Job description

Integrated Services for Behavioral Health in Central Ohio is seeking a Quality Specialist to support the development, implementation, and evaluation of quality improvement initiatives across the organization. You will collaborate with clinical, operational, and administrative staff to improve performance metrics and ensure regulatory compliance.

The role emphasizes data analysis, audits, and CAP tracking, with a focus on CARF, Medicaid/Medicare, and OhioRISE program requirements.