Quality Assurance Specialist

Description:

 

The Quality Assurance Specialist performs ongoing monitoring of quality improvement activities and compliance with all applicable 1115 Waiver Demonstration Project contractual requirements.  This position works under the direct supervision of the Quality Assurance & Improvement Director, and assists in the daily operations of the Quality Management Department in support of the 1115 Waiver Demonstration Project.  The Quality Assurance Specialist will work closely with the QI Director and IT Department in the development of specialized reports needed for evaluating the impact of training and monitoring activities.  This position will represent ABH® and its services in a positive and professional manner and adhere to ABH®’s best practices, guidelines, policies and procedures as established, promoting ABH as a leader in behavioral healthcare in all interactions and work.

 

DUTIES AND RESPONSIBILITIES:

 

  • Develops and maintains various databases and measurement mechanisms for the collection, analysis, and reporting of quality improvement initiatives & activities;
  • Analyzes results of data documented on Chart Review and Site Monitoring Tools and during training activities using sound methodologies;
  • Prepares clear and comprehensive analysis reports related to summary of results of Chart Reviews and Site Visits in a timely manner, submitting completed reports to the QI Director;
  • Assists with preparation/updating of training materials, in collaboration with QI Director and Clinical Care Team Leader;
  • Tracks and trends provider performance as demonstrated in aggregated chart review data, site monitoring and technical assistance visits;
  • Develops and maintains various databases and measurement mechanisms for the collection, analysis, and reporting of quality improvement initiatives & activities;

Maintains confidentiality of all client protected health information and adheres to all HIPAA related reviews, goal setting, etc;

  • Demonstrates ethical behavior and cultural sensitivity in all activities involving individuals of diverse backgrounds;
  • Performs other tasks/responsibilities as required to support the business operations.


EDUCATION AND EXPERIENCE REQUIREMENTS:

  • Bachelor's Degree in health sciences or related field, and 2+ years experience in HMO/health insurance or behavioral health service provision required;
  • Attends annual conflict of interest training.

 

KNOWLEDGE/SKILLS/ABILITIES:

  • Ability to work  well independently and in collaboration with other staff members to meet reporting deadlines;
  • Demonstrated ability to manage various data collection methodologies, information analyses, and produce clear report presentations;
  • Must be flexible in order to respond quickly and positively to shifting demands;
  • Strong attention to detail; ability to work on multiple tasks and meet deadlines;
  • Excellent PC skills with demonstrated experience using Microsoft Office Package (MS Word, Excel, Power Point, Access, Outlook); internet;
  • Strong written and verbal skills required.

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We are an Equal Opportunity Employer.


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Advanced Behavioral Health, Inc.

213 Court Street
Middletown, CT 06457

Phone: (860) 638-5309
Fax: (860) 638-5302