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