Behavioral Health Quality Management Specialist II

Job Title: Behavioral Health Quality Improvement Specialist
Location: Remote, United States
Job Type: W2 Contract, Part Time 
Expected Hours per Week: 20–24
Schedule: Flexible (Part-Time)
Pay Range: $40 per hour

Position Description:
This role is responsible for facilitating clinical quality improvement projects, audits, and reporting within a behavioral health managed care environment. The specialist will lead provider and member outreach initiatives, analyze program effectiveness, and support strategies that improve quality of care and cost outcomes. This is a 100% remote role focused on outreach support with no travel or field visits required.

Key Responsibilities:

• Facilitate and monitor assigned clinical quality improvement projects, audits, and reporting initiatives.
• Conduct member and provider outreach to support quality programs and regulatory compliance.
• Analyze data and statistical reports to evaluate program effectiveness and identify improvement opportunities.
• Collaborate with providers, members, and internal teams to implement and track quality initiatives.
• Assist in development of QI program documents including work plans, evaluations, and reports.
• Ensure compliance with accreditation standards, government regulations, and contractual requirements.
• Support population health programs through research, assessments, and data collection tools.
• Maintain ongoing documentation for audits, reporting, and accreditation reviews.
• Participate in internal and external meetings related to quality improvement and managed care initiatives.
• Coordinate with behavioral health providers and state agencies on program performance and initiatives.

Required Qualifications:

• Active independent behavioral health license (LPC, LCSW, or LCPC)
• 3+ years of clinical practice experience
• 2+ years of experience in utilization management, case management, quality improvement, or project management
• Experience with member and/or provider outreach or training
• Strong verbal and written communication skills
• Data analysis experience
• Proficiency in Microsoft Word and Excel

Preferred Qualifications:

• Behavioral health or managed care experience
• Quality improvement or project management experience
• Experience working with regulatory/accreditation standards

Top Skills:

• Behavioral Health Licensing (LPC, LCSW, LCPC)
• Quality Improvement / Clinical Auditing
• Member & Provider Outreach
• Managed Care / Utilization Management
• Data Analysis & Reporting
• Regulatory Compliance