Quality Management Specialist II in Latham, NY at Beacon Health Options

Date Posted: 1/11/2020

Job Snapshot

Job Description

We Help People Live their Lives to the Fullest Potential!

For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a ‘world-class’ candidate experience from the moment you click ‘Apply’! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise.

Do you have a passion for helping others? If so, we are looking for you!

Beacon is currently seeking a Quality Management Specialist II to join our team at our Latham, NY office! This position will coordinate the planning, development, implementation, monitoring and analysis of quality management processes and activities.

What does a typical day look like?

  • Coordinates and manages key aspects of both URAC and NCQA regulatory requirements including but not limited to:
    1. knowledge of the standards
    2. working with the team to meet and/or exceed the standards
    3. maintenance of necessary and relevant documentation history
    4. completion of NCQA and URAC documentation requirements
  • Conducts audits/internal assessments to ensure compliance with corporate policies, quality management activities and accreditation standards.
  • Prepares written assessment reports, internal document tracking and executive summaries that describe programs, methods, barriers, results, operational strengths, interventions, opportunities for improvement and recommendations. Ensures a comprehensive and analytic document.
  • Provides ongoing support for accreditation survey preparation.
  • Assists in the oversight of organization-wide or service center-wide quality improvement activities.
  • Monitors and analyzes performance through data collection, tracking and analysis. Identifies improvement opportunities and recommends quality improvement activities. Serves as an internal consultant for corporate, region and/or engagement center quality improvement activities including:
    1. Facilitation and coaching
    2. Coordination of QIA, surveys, research and other supporting functions
    3. Use or teaching of QI methods, tools, etc.
    4. Role model for QM principles and practices
  • Participates in the development and implementation of policies and procedures. Periodically reviews and revises, as appropriate, QM policies and procedures. Participates on or leads Quality Management Committee or Workgroup activity.
  • Performs other duties as assigned by management when needed.

What you Contribute?

Education: Master’s Degree in one of the following related fields: QM, Psychology, Behavioral Health, Statistics or RN with relevant QM or Managed Care experience

Licensure: Nursing (RN) or Social Work (LCSW) with 3 years of UM or QM experience or non-licensed with 5 years of UM or QM experience; CPHQ preferred.

Knowledge, Skills & Abilities:

  • Quality Management experience is required; behavioral health managed care experience is preferred.
  • MS Office Suite (Word, Excel, PowerPoint, Outlook, Access, Project)
  • Analytical and problem-solving ability
  • Interpersonal communication skills
  • Verbal and written communication skills
  • Collaboration and team-oriented work philosophy

What Makes Us Different?

  • Here, it’s not just a job – it’s an opportunity to change lives.
  • Our employees are learners, innovators and original
  • Our mission and values guide the way we treat our members, providers and each other.

What We Have to Offer:

  • Healthcare benefits available starting day 1!
  • Health & wellbeing incentives, such as gym membership reimbursement
  • 401K with company match to help reach your future financial goals
  • Generous PTO, because we know life happens outside of work
  • Tuition reimbursement so you can keep reaching your fullest potential

If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started!

Beacon Health Options 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

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.