Quality Monitoring Specialist Job Ashland area,Kentucky USA,Healthcare

Function:

The Quality Monitoring Specialist is responsible for transforming data into actionable insights that improve care delivery, compliance, and outcomes for individuals and families we serve. This role ensures accurate reporting across clinical, operational, and financial domains, helping the organization meet state and federal requirements while advancing program quality and equity in behavioral health services.

Organizational duties & responsibilities:

The primary responsibility of all staff is to ensure the safety and well‑being of all Ramey-Estep/Re-group (RE) clients.

Supports the mission, vision, and values of RE. Facilitates and adheres to the agency’s code of ethics, policies, and procedures.

Supports all functions that attain and maintain accreditation and compliance with regulatory agencies.

Supports and facilitates positive interaction with clients and staff by exhibiting both in‑office and in‑public when carrying out job duties: individual maturity, respect for others, a team‑centered approach, maintenance of confidential information, and awareness and sensitivity to cultural and other differences in clients and staff.

Exhibits effective communication skills, including proper use of agency communication systems.

Participates in appropriate professional development programs to attain and maintain competency.

Effectively manages financial and physical resources to achieve the mission of RE.

Reports incidents of abuse or potential abuse involving clients to the appropriate authorities and RE.

Essential Duties and Responsibilities:

Collect, clean, and validate data from electronic health records, data analytics dashboards, and other applicable databases.

Conduct statistical analyses to identify trends in service utilization, outcomes, and performance metrics.

Assist with the development of dashboards and reports to support leadership, staff, and board decision‑making.

Prepare and submit required reports for CCBHC data measures, HEDIS measures, UDS, MIPS, and other regulatory frameworks.

Ensure data integrity and compliance with HIPAA, SAMHSA, and Kentucky state guidelines.

Collaborate with Outcomes Coordinator, Senior Director of Quality Excellence, and Chief Compliance Officer to monitor quality indicators and corrective action plans.

Partner with clinical teams to translate data into meaningful insights for care improvement.

Provide training and technical assistance to staff on data entry, reporting tools, and performance monitoring.

Support grant reporting and evaluation activities to demonstrate program impact.

Identify opportunities to streamline data collection and reporting processes.

Recommend evidence‑based strategies for improving data‑driven decision‑making.

Stay current on behavioral health analytics, compliance standards, and emerging technologies.

Ensure transparency and accountability in reporting quality outcomes to internal teams, and when appropriate, external stakeholders.

Foster a culture of quality, safety, and continuous learning across the organization.

Mentor and guide staff in implementing quality improvement projects.

Maintain knowledge of applicable licensing, regulations, credentialing, and certification requirements, including BHSO, AODE, PCC, PCP, FQHC, and CCBHC.

Other duties as assigned.

Working conditions/environment:

Shift is generally Monday – Friday but hours may vary based on organizational needs.

Holidays, weekends, and extra hours may occasionally be required.

Office environment with extensive computer use.

Occasional travel to service sites for training, audits, and investigations.

Fast‑paced environment with the need for quick decisions to deal with any crisis that may arise.

Participation in emergency response planning and periodic after‑hours consultation may be required.

Maintains a positive, professional attitude contributing to a supportive work environment.

Minimum job requirements:

Education:

High School Diploma or GED required.

Experience:

Two years of experience in data analysis, preferably in healthcare or behavioral health settings, preferred.

Specific Skills and requirements:

Must be at least 21 years of age.
Strong organizational skills.
Excellent communication,…


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