Remote Behavioral Health Quality & Compliance Specialist

Iannarino Fullen Group; Phoenix (AZ); Remote; USD 70,000 - 95,000; Full time

Job summary

Iannarino Fullen Group is seeking a Behavioral Health Quality Management Specialist in Phoenix, AZ, operating remotely. The role focuses on quality management, compliance, and service authorization within Arizona’s behavioral health system.

The ideal candidate brings clinical or programmatic experience, strong analytical skills, and the ability to review complex documentation, interpret regulations, and coordinate with providers to support quality outcomes.

Qualifications

• Clinical or programmatic experience in behavioral health service delivery systems.
• Experience with AHCCCS/Medicaid regulations and service authorization processes.
• Strong analytical and communication skills with ability to review clinical information.

Responsibilities

• Review and evaluate behavioral health services for compliance with requirements.
• Support service authorization and prior authorization activities.
• Interpret AHCCCS policies and Medicaid/Medicare regulations to ensure program integrity.
• Coordinate with providers to ensure accurate documentation and data entry.
• Identify trends and potential compliance concerns through data analysis.
• Maintain accurate records and prepare findings and recommendations.

Skills

Analytical skills

Communication skills

Independent work

Education

Active AZ Behavioral Health License

Quality Management/Compliance Certification

Tools

Microsoft Office

Google Workspace

Job description

Iannarino Fullen Group is seeking a Behavioral Health Quality Management Specialist in Phoenix, AZ, operating remotely. The role focuses on quality management, compliance, and service authorization within Arizona’s behavioral health system.

The ideal candidate brings clinical or programmatic experience, strong analytical skills, and the ability to review complex documentation, interpret regulations, and coordinate with providers to support quality outcomes.