Behavioral Health Clinical Quality Audit Analyst Sr.

Location: Field-based role in Maryland; must reside within a reasonable commuting distance of Hanover. Local travel to provider facilities is required, with virtual work from home when not in the field.

Salary: $79,716–$119,574 annually.

Company

hirify.global is a Fortune 25 healthcare company focused on improving lives and communities and simplifying healthcare.

What you will do

• Participate in on-site external quality audits, including NCQA, AAHC, and EQRO audits.
• Prepare required audit documentation and quality management reports.
• Analyze trends, identify improvement opportunities, and recommend valid quality indicators.
• Implement and monitor behavioral health outcomes improvement studies, education initiatives, outreach programs, surveys, and medical record reviews.
• Perform monthly, quarterly, annual, and ad hoc HEDIS and CPG compliance reviews.
• Conduct quality-of-care investigations, close or refer cases, and prepare cases for the Peer Review Committee.

Requirements

• MS or MA degree in behavioral health or a related field.
• At least three years of experience in quality improvement, behavioral health, risk management, utilization review, or process improvement in a managed care setting.
• Residence in Maryland within a reasonable distance of Hanover and availability for local travel are required.
• Specific education, experience, or licensure may be required by contract and delegated responsibilities.
• Proficiency with Microsoft Word, Excel, Outlook, and Teams.

Nice to have

• BCBA certification.
• Applied Behavior Analysis experience.

Culture & Benefits

• Hybrid workforce strategy combining field work, virtual work, and occasional office attendance for meetings or training.
• General business hours from Monday through Friday.
• Paid holidays, paid time off, incentive bonus programs, and merit increases.
• Medical, dental, vision, disability, life insurance, wellness, and financial education benefits.
• 401(k) with company match and stock purchase plan.