Quality Improvement Specialist, Behavioral Health & Compliance
Overview
Quality Improvement Specialist at Paragon Behavioral Health Connections drives quality and compliance across Colorado programs. You will support medical records requests, internal audits, policies, and KPI reporting while collaborating with clinical, operational, and administrative teams. This role helps free the Director to focus on strategic quality initiatives and ensures adherence to state, federal, and payer requirements. You will work in a hybrid Lakewood/Denver Metro setting with statewide impact and opportunities for growth.
What You'll Do10
- 1Build and maintain policies and procedures for the Quality Improvement Team to align with regulatory requirements
- 2Design and execute internal audits, chart reviews, and licensing/contractual compliance checks to identify gaps and improvements
- 3Develop and monitor dashboards and reports on KPIs and clinical outcomes for leadership and external audits
- 4Track quality improvement projects with timelines, action items, and status updates to ensure on-time delivery
- 5Coordinate documentation for licensing, accreditation, and payer audits and assist with critical incident investigations
- 6Collaborate with clinical, operational, and administrative staff to gather data for audits, reports, and policy updates
- 7Identify process gaps in records management, auditing, and reporting and recommend improvements
- 8Provide backup support for Quality Improvement Team functions and prepare materials for quality committee meetings
- 9Participate in organization-wide workgroups and other duties as assigned
- 10Maintain strict confidentiality of protected health information and sensitive data
Requirements10
- 1Bachelor's degree in Human Services, Social Work, Psychology, Counseling, or related field
- 2Prior experience in behavioral health, records management, auditing, or quality/compliance preferred
- 3Working knowledge of HIPAA and confidentiality requirements
- 4Strong written and verbal communication skills
- 5Proficiency with Google Workspace and ability to learn EHR systems
- 6Strong organizational skills with ability to manage multiple projects
- 7High attention to detail and accuracy in documentation
- 8Ability to work independently and with teams
- 9Valid driver's license, auto insurance, and reliable transportation
- 10Preferred: Master's degree in behavioral health and experience in Medicaid/Behavioral Health Administration compliance
Salary Insight
$57 - $65k per year
Location
Required Skills
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