BH Clinical Quality Audit Analyst SR (Quality Management Specialist)

Elevance Health Rocky Hill , CT 06067

Posted 4 weeks ago


Title : BH Clinical Quality Audit Analyst SR (Quality Management Specialist)

Location: Rocky Hill, CT; candidate required to reside in posted state all other states will be declined.

Build the Possibilities. Make an extraordinary impact.

The BH Clinical Quality Audit Analyst SR is responsible for providing quality management consultation and oversight to contracted provider locations.

How you will make an impact:

  • Provides recommendations for quality improvement studies including selection of valid and reliable indicators and coordinates monitoring and evaluation activities upon select implementation.

  • Analyzes data and prepares concise, accurate and meaningful quality management reports in accordance with Company procedures.

  • Defines opportunities for improvement through trend analysis and communicates information appropriately.

  • Assists in implementation and monitoring of quality management activities including, but not limited to the development and implementation of behavioral health outcomes improvement interventions such as newsletter article, member education and outreach interventions, provider education and outreach interventions, medical record review, focus studies and surveys.

  • Performs monthly, quarterly, annual and ad hoc medical record reviews.

Minimum Requirements:

  • Requires MS/MA degree in behavioral health or related field and a minimum of 3 years experience in quality improvement and/or behavioral health, risk management and/or utilization review in a managed care setting as well as process improvement; or any combination of education and experience which would provide an equivalent background.

Preferred skills, capabilities and experiences:

  • License in Behavioral Health required; Specific education, type of experience and/or licensure may be required based upon contract requirements and delegated responsibilities.

  • Collaboration with stake holders experience preferred.

  • Lean 6 Sigma experience preferred.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Elevance Health approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Project Manager/Sr Env Permitting Specialist


Posted 5 days ago

VIEW JOBS 2/3/2023 12:00:00 AM 2023-05-04T00:00 <p>Company Description</p><p>We will give you the flexibility you need to do your best work with hybrid work options. Whether you're working from an AECOM office, remote location or at a client site, you will be working in a dynamic environment where your integrity, entrepreneurial spirit and pioneering mindset are championed.</p><p>You will help us foster a culture of equity, diversity and inclusion - a safe and respectful workplace, where we invite everyone to bring their whole selves to work using their unique talents, backgrounds and expertise to create transformational outcomes for our clients.</p><p>We will encourage you to grow and develop your career with us through our technical and professional development programs and diverse career opportunities. We believe in leadership at all levels. <br><br> No matter where you sit in the organization you can make a lasting impact on the projects you work on, the teams and committees you join and our business. We offer competitive pay and benefits, well-being programs to support you and your family, and the development resources you need to advance your career.</p><p>When you join us, you will connect and collaborate with a global network of experts - planners, designers, engineers, scientists, consultants, program and construction managers - leading the change toward a more sustainable and equitable future. Join us and let's get started. As an Equal Opportunity Employer, we believe in each person's potential, and we'll help you reach yours.</p><p>Job Description</p><p>AECOM is seeking a seasoned Project Manager/Sr. Environmental Permitting Specialist within our Environmental Planning &amp; Permitting (EPP) Practice in the Northeast US.</p><p>This role is to support our Power/Electric Transmission market sector, state/local and industrial client sectors. Particular focus will be leading, managing and executing projects supporting electrical transmission infrastructure, renewables including offshore wind interconnects and solar development projects. The Position is based in New England and can be remote.</p><p>Specific prior experience supporting natural resources field studies, surveys and env. permitting of electrical transmission projects required with particular focus in Massachusetts, CT, RI and NH highly desirable.</p><p>Demonstrated experience with the Massachusetts Wetlands Protection Act Regulations, MEPA, S. 404/401 and strong writing and verbal communications skills desired.</p><p>Prior experience supporting wetlands delineation, T&amp;E surveys and GIS background desirable.</p><p>Prior experience in task and project management, client engagement and business development/proposal preparation desirable.</p><p>The candidate will be joining one of the strongest and deepest EPP Teams in the northeast with an extensive backlog of project work in multiple client sectors and a strong presence in the renewable energy arena, in particular Offshore Wind Energy Permitting. This is a full-time career opportunity and opportunity to work in a strong team environment.</p><p>At AECOM, we're delivering a better world. We believe infrastructure creates opportunity for everyone. <br><br> Whether it's improving your commute, keeping the lights on, providing access to clean water or transforming skylines, our work helps people and communities thrive.Our clients trust us to bring together the best people, ideas, technical expertise and digital solutions to our work in transportation, buildings, water, the environment and new energy. We're one global team - over 50,000 strong - driven by a common purpose to deliver a better world.</p><p>Qualifications</p><ul><li><p>MINIMUM REQUIREMENTS:</p></li><li><p>The candidate will have a BS in Biology, Ecology, Environmental Science, Geology or related field and 8+ years-experience.</p></li><li><p>US Citizenship is Required.</p></li><li><p>Valid Driver's License Required</p></li></ul><p>PREFERRED QUALIFICATIONS:</p><ul><li>Master's Degree in Science related studies desirable10 + years of experience.</li></ul><p>Additional Information</p><p>All your information will be kept confidential according to EEO guidelines.</p><p>Offered rate of compensation (NYC locations only) will be based on individual education, qualifications, experience, and work location. The salary range for this position is $100,000 - $155,000.</p><p>Colorado's Equal Pay for Equal Work Act requires employers to provide the following compensation and benefits information for positions that may be performed in Colorado:</p><p>Offered rate of compensation (Colorado locations only) will be based on individual education, qualifications, experience, and work location. The salary range for this position is: $100,000 - $155,000.</p><p>AECOM is proud to offer a comprehensive benefits program to meet the diverse needs of our employees. Depending on your employment status, AECOM benefits may include medical, dental, vision, life, AD&amp;D and disability benefits, paid time off, leaves of absence, voluntary benefits, perks, wellness and global well-being, and global EAP, Business Travel and Service Awards programs</p><p>With infrastructure investment accelerating worldwide, our services are in great demand, and there's never been a better time to be at AECOM! Join us, and you'll get all the benefits of being a part of a global, publicly traded firm - access to industry-leading technology and thinking and transformational work with big impact and work flexibility.</p><p>AECOM provides a wide array of compensation and benefits programs to meet the diverse needs of our employees and their families. We also provide a robust global well-being program. We're the world's trusted global infrastructure firm, and we're in this together - your growth and success are ours too.</p><p>As an Equal Opportunity Employer, we believe in each person's potential, and we'll help you reach yours.</p><p>Join us and let's get started.</p><p>ReqID: J10072063</p><p>Business Line: Environment</p><p>Business Group: DCS</p><p>Strategic Business Unit: East</p><p>Career Area: Program &amp; Project Management</p><br> Aecom Rocky Hill CT

BH Clinical Quality Audit Analyst SR (Quality Management Specialist)

Elevance Health