Date Posted: 9/18/2018

Job Snapshot

Job Description


We are currently seeking a dynamic CLINICAL QUALITY OPERATIONS COORDINATOR to join our team at our office in Woburn, MA.  The CLINICAL QUALITY OPERTATIONS COORDINATOR reports directly to the Director of Regional Clinical Quality Operations to provide clinical and quality operational and inter-departmental support, as well as, coordinate the functions of the regional clinical and quality teams.   In collaboration with the CQOD & Clinical Quality Operations Managers (CQOM), the CQOC supports and participates in clinical and quality implementation activities.

Position Responsibilities:

  • Assists in the clinical and quality operations of the Region and facilitates clinical & quality operations engagement between functional units i.e. Aftercare, Quality, Provider Quality, Case Management as well as across UM Shared Services.

  • In collaboration with the CQOM and Corporate Quality Accreditation, ensure ongoing compliance with accreditation (NCQA and URAC) standards.

  • Responsible for supporting with new client implementations (inclusive of new services on existing client) for clinical and quality components.

  • Supports clinical & quality aspects of audits collaborating with corporate quality accreditation (internal audits), Ops Pod and account partnerships as needed.

  • In conjunction with the CQOD & CQOM, supports contractual and delegation agreement compliance for the Region.

  • Project manages cross-department initiatives within the Region, and across Shared UM Services that affect the region, as needed.

  • Assists in the maintenance of contractual reporting requirements as needed.

  • Acts as a liaison between CQO, Ops Pods, Shared UM Services, and Care Management to maintain operational procedures and updates.

  • Works with the Regional Quality Director and team to coordinate quality control on clinical and quality deliverables, implementations and ad hoc requests.

  • Facilitates cross-departmental Regional meetings to support accreditation. (i.e., QM/UM/CM).

  • Other duties as assigned.

Position Requirements:

Education: The position requires a minimum of a Bachelor’s Degree in a related field (healthcare administration, behavioral sciences, business, project management) and preferably three years managed behavioral healthcare or related experience.

  • Relevant Work Experience: Preferably three years managed behavioral healthcare or related experience

  • A Bachelor’s degree in a healthcare field is desired but not required.

  • The candidate must have a strong customer service orientation, excellent written and verbal communication skills, and experience using management information systems

  • Knowledge and experience related to clinical services will be beneficial.

Knowledge, Skills & Abilities:

  • Excellent written and oral communication skills

  • Self-motivated, able to prioritize multiple issues, excellent organizational skills, ability to track multiple projects/tasks and follow through as needed.

  • Demonstrated understanding of CQI.

  • Ability to manage and coordinate with internal and external departments

  • Ability to manage time-sensitive projects and meet deadlines

  • Knowledge of CQI principles and ability to manage change

  • Ability to identify opportunities for improvements and recommend / implement innovative solutions.

  • Able to work collaboratively with internal staff and external providers/clients

  • Must be detail oriented; able to work independently in an ever changing environment


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Beacon Health Options company is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled