Clinical Quality Analyst

The role

The Clinical Quality Analyst ensures medical and clinical processes follow company, industry, accreditation, state, and federal guidelines. This person performs quality assurance and clinical audits, collaborates with clinical teams to resolve findings, and supports incident analysis and survey preparation.

What you will do

• Audit assigned medical and clinical records daily
• Apply audit criteria consistently and accurately
• Complete monitoring reports that summarize audit results, findings, and trends
• Provide education and feedback based on audit findings
• 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
• Collaborate with administration and other departments to develop interdepartmental procedures
• Notify the Quality and Safety Manager of matters related to the integrity of the medical record
• Participate in state, Medicaid, payer, and accreditation survey-preparedness initiatives

Required qualifications

• 2+ years of experience in healthcare auditing
• 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
• 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

Nice to have

• Bachelors or master’s degree in behavioral health or similar field
• Healthcare or behavioral health operations experience

Benefits

• Comprehensive benefits to all full-time, exempt employees

Before you apply

• Not currently considering applicants in AK, CA, CO, CT, MA, ME, MN, NJ, NY, OR, WA and Washington D.C.

About the company

Charlie Health delivers personalized, virtual care rooted in connection for people with complex mental health, substance use, and eating disorders. The organization aims to expand access to life-saving behavioral health treatment.