Quality Management Analyst

Job Summary

Supporting the implementation of DMC-ODS requirements, the fully remote Quality Management Analyst will coordinate quality management, utilization management, provider monitoring, and compliance workflows while maintaining audit-ready documentation and tracking provider performance.

Key responsibilities

• Maintain and track utilization management documentation, including authorization requests and follow-up items
• Coordinate credentialing/recredentialing processes and provider site reviews, ensuring timely completion of required documentation
• Analyze quality and compliance data to identify trends and support quality improvement initiatives

Required qualifications

• Bachelor's degree in Public Health, Behavioral Health, Social Work, Healthcare Administration, or related field
• Minimum of three years of experience in behavioral health, quality management, or related fields
• Familiarity with DMC-ODS and Medi-Cal behavioral health managed care strongly preferred
• Experience coordinating audits, site reviews, and quality improvement activities preferred
• Proficiency in using Excel, Word, and other relevant software applications