Senior Behavioral Health Clinical Quality Audit Analyst

Elevance Health

Behavioral Health Clinical Quality Audit Analyst Sr at Elevance Health in New York. Conducting quality audits and member interventions to ensure compliance and improve outcomes.

Posted 7/13/2026full-timeNew York City • New York • 🇺🇸 United StatesSenior💰 $79,716 - $136,656 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in quality improvement and behavioral health interventions, with a strong focus on data analysis, reporting, and compliance in managed care settings. Proficient in conducting medical record audits and implementing effective outreach and education strategies.

Highest-signal resume keywords

Quality ImprovementBehavioral Health Clinical LicenseData AnalysisMedical Record AuditsManaged Care Experience

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

HEDIS InterventionsQuality Management ReportingTrend AnalysisBehavioral Health Outcomes ImprovementChart Audits

Soft Skills

CommunicationCollaborationProblem-Solving

Certifications & Qualifications

Behavioral Health Clinical License

Industry Keywords

Managed CareRisk ManagementUtilization ReviewQuality Improvement Studies

About the role

Key responsibilities & impact

Completes member-facing HEDIS interventions telephonically, including outreach, education, documentation, and follow-up to support measure compliance and quality outcomes
Performs monthly, quarterly, annual and ad hoc medical record chart audits of appeals, approvals, denials, and integrated care for a NY-based client
Provides recommendations for quality improvement studies including selection of valid and reliable indicators and coordinates monitoring and evaluation activities upon select implementation
Analyzes data and prepares concise, accurate and meaningful quality management reports in accordance with Company procedures
Defines opportunities for improvement through trend analysis and communicates information appropriately
Assists in implementation and monitoring of quality studies including, but not limited to the development and implementation of behavioral health outcomes improvement interventions such as newsletter article, member education and outreach interventions, provider education and outreach interventions, medical record review, focus studies and surveys
Travels to worksite and other locations as necessary

Requirements

What you’ll need

Requires MS/MA degree in behavioral health or related field
Minimum of 3 years experience in quality improvement and/or behavioral health, risk management and/or utilization review in a managed care setting
Current active unrestricted Behavioral Health clinical license for the state of New York required

Benefits

Comp & perks

comprehensive benefits package
incentive and recognition programs
equity stock purchase
401k contribution