• The salary range for this position is $85,000 - $95,000 / yr
• This is a Full-time position
• Health Insurance Plans
• Flexible Spending Account Programs
• Management or Union Benefits
• Leave Benefits
• Special Leave of Absence Coverage (SLOAC)
• Retirement Savings Plans
• Additional Savings Plan
• Transit Benefit
• Direct Deposits
• Municipal Credit Union (MCU)

• Must have a current NYS licensed RN (Psych preferred), LPN, or LMSW/LCSW
• Must have a Bachelor’s degree in a clinical field. An advanced degree is preferred.
• Must have a minimum of 4-5 years of experience in the health care field, preferably with a Managed Care Organization.
• Must have a previous experience in a large inpatient Behavioral Health setting.
• Must have a working knowledge of Medical/Behavioral Health terminology including diagnosis, medications, and levels of care. Working knowledge of HEDIS/QARR.
• Must be proficient in Microsoft Word, PowerPoint, Excel, and Access.
• Experience with and proficiency in data analysis. Working knowledge of relational databases and statistical analyses is a plus.
• Must have in-depth knowledge of PDSA methodology and its application and is familiar with and have a working knowledge of QI process improvement methodology strategies including but not limited to DMAIC.
• Six Sigma Yellow or Green Belt is preferred.

• Partner with contracted inpatient/outpatient Mental Health and Rehab/Detox facilities to provide support to Behavioral Health Providers through face-to-face, virtual, and telephonic meetings. These strategic partnerships will be designed to increase provider knowledge of behavioral health HEDIS/QARR measures, provide supporting performance data and goals, and establish linkages between inpatient and outpatient behavioral health providers. Communicate provider data needs back to the organization to ensure end-to-end partnership.
• Review present state provider coding/documentation practices and educate on proper claims submission protocols.
• Create new data streams to ensure high data integrity/completeness for HEDIS/QARR submissions.
• Educate providers on medication and treatment compliance and promote the use of Long Acting Injectables.
• Ability to communicate complex data in a way that is easy to understand and operationalize.
• Partner with network providers to assess the current state and operationalize innovative programs and strategies to improve clinical and quality outcomes.
• Conduct initial measure research and quality intervention development for new NCQA/state BH measures.
• Assist in ad-hoc projects that serve to educate and build provider awareness of behavioral health aspects of care including, but not limited to, outreach to increase screenings and referrals by PCPs, building awareness around CORE and BH HCBS services and other state and plan initiatives that require provider education.
• Contribute to the identification of best practices across the entire group of PQMs nationally and integrate high-quality program ideas/designs into the local market to drive high levels of value.
• Ability to travel within the local New York City market on a regular basis to meet with high-volume providers/provider groups.
• Organize data and create presentations that are effective in assisting providers with performance improvement.
• Develop methods and/or tools to collect and track barriers for targeted members and providers.
• Develop/deliver member and provider communications that are clear, direct, and actionable.
• Consistently applies PDSA methodology to all quality improvement work.
• Responsible for keeping professional license current.

We are committed to our core values: integrity, honesty, and transparency Finding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming. At Greenlife our mission is to make this process easier for you and help you through all the steps necessary to find that perfect new position or the healthcare professional to round out your team. We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.