Quality Improvement Lead

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $133k - $148k / year

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 13%

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Lyra Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2015

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

💰 $235M Series F on 2022-01

Healthcare • Healthcare Insurance • SaaS

Lyra Health is a mental health company that partners with organizations to deliver comprehensive and effective global workforce mental health benefits. By providing evidence-based mental health care, Lyra Health boosts employee well-being and drives business impact. Their platform offers high-quality mental health support through a global network of professionals, utilizing AI matching technology to connect members quickly with suitable providers. Lyra Health serves families, couples, adults, and children, offering support for diverse mental health needs. Their programs aim to improve employee health, productivity, and reduce healthcare costs while providing a seamless member experience.

📋 Description

• Lead Behavioral Health Performance Improvement activities • Track performance trends and incidents and conduct Root Cause Analysis • Ensure high-quality and culturally responsive care • Lead continuous survey readiness activities, including mock surveys and tracer methodology • Interpret and operationalize regulatory requirements into clinical workflows and policies • Ensure contracted services meet accreditation standards and comply with applicable regulations, including The Joint Commission Behavioral Health standards • Conduct chart audits covering timely assessments, treatment plans, medical necessity, and discharge planning • Identify risks, implement corrective actions, and partner with supervisors on provider documentation issues • Track key metrics and support OPPE and FPPE processes for licensed providers • Develop dashboards and reports for leadership review • Educate staff on documentation, risk assessment, incident reporting, and quality improvement processes • Support competency validation and address performance gaps with leadership • Coordinate the Behavioral Health Quality/Performance Improvement Committee • Partner with Risk Management/Compliance on investigations and mitigation strategies • Support Performance Improvement plan development and annual evaluation • Analyze, develop, and monitor clinical QI activities for compliance with customer guarantees • Lead clinical quality audits with benefits and customer teams • Investigate and resolve behavioral health quality-of-care complaints and grievances • Perform other duties as assigned

🎯 Requirements

• Master’s or doctoral degree from a behavioral health clinical track (e.g., LCSW, LMHC, LPC, MSW, LMFT, Ph.D, Psy.D.) • Current unrestricted license to practice within the United States • 3+ years in behavioral health, quality improvement, or compliance, with experience in chart audits, incident review, and regulatory surveys • Strong understanding of Behavioral Health clinical workflows and documentation requirements • High attention to detail and regulatory compliance • Knowledge of performance improvement methodologies (PDSA, Lean, Six Sigma) • Data analysis and interpretation skills • Ability to collaborate with multidisciplinary teams and influence practice change • Strong understanding of mental health conditions, empirically supported treatment options, and patient progress evaluation • Knowledge of cultural, linguistic, and socioeconomic differences in client populations • Ability to interact through secure virtual platforms and maintain privacy and security of confidential data • Proficiency with Electronic Health Record(s) and accurate, timely documentation • Ability to stay current with applicable training and advances in virtual healthcare delivery • Ability to think critically and adjust processes based on client needs • Collaboration and interprofessional communication skills • Understanding and compliance with system policies, protocols, and processes • Adherence to legal and ethical healthcare standards, patient confidentiality, and HIPAA-compliant documentation and communication • Ability to manage multiple tasks, schedules, priorities, records, and timely follow-up

🏖️ Benefits

• Comprehensive healthcare coverage (including medical, dental, vision, FSA/HSA, life and disability insurances) • Lyra for Lyrians; coaching and therapy services • Equity in the company through discretionary restricted stock units • Competitive time off with pay policies including vacation, sick days, and company holidays • Paid parental leave • 401K with up to 3% matching • Monthly tech allowance • Well-being perks and activities • Surprise swag • Regular community celebrations