Behavioral Health HEDIS Specialist
Job Summary
To enhance behavioral health HEDIS and Pay for Performance measures, the full-time remote Behavioral Health HEDIS Specialist will supervise interventions, collaborate with health plans and clinical leadership, and analyze data to improve compliance with key metrics.
Key responsibilities
- Develop and implement strategies with clinical staff to improve compliance with behavioral health HEDIS metrics and Pay for Performance measures
- Act as a liaison with various departments to gather input on interventions and provide feedback on outcomes
- Analyze data to identify trends and opportunities for quality and clinical improvement based on stakeholder feedback
Required qualifications
- Bachelor's degree in nursing, a related field, or equivalent experience
- 3+ years of experience in case and/or utilization management in behavioral or physical health care settings
- Knowledge of key behavioral or physical health-related HEDIS and performance measures
- Preferred supervisory or lead experience
- Current state's unrestricted license as a LCSW, LMFT, LPC, PhD, PsyD, or RN preferred
Complete Job Description
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