Behavioral Health Clinical Quality Audit Analyst Sr.

Position Title: Licensed Behavioral Health Quality Audit Sr. - BCBA/ABA Anticipated End Date: 2026-09-13 Job Description LOCATION: This is a field role. Maryland residency is required -- Hanover/Baltimore area. When you are not in the field, you will work virtually from your home. HOURS: General business hours, Monday through Friday. TRAVEL: Local travel is required to provider facilities. Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. Responsibilities 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. Performs monthly, quarterly, annual and ad hoc medical record reviews such as HEDIS and CPG compliance. Conducts quality of care investigations and using criteria closes case appropriately or refers to BH Medical Director for further review. Prepares cases for Peer Review Committee. Travels to worksite and other locations as necessary. Required Qualifications Requires MS/MA degree in behavioral health or related field and a minimum of 3 years’ experience in quality improvement and/or behavioral health, risk management and/or utilization review in a managed care setting as well as process improvement; or any combination of education and experience which would provide an equivalent background. Specific education, type of experience and/or licensure may be required based upon contract requirements and delegated responsibilities. Preferred Qualifications You must hold a BCBA (Board Certified Behavior Analyst) for this role. ABA (Applied Behavior Analysis) experience preferred. You should be proficient in Microsoft Office applications to include Word, Excel, Outlook, Teams. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Clinical Quality (Non-Licensed) For candidates working in person or virtually in the below locations, the salary* range for this specific position is $79,716 - $119,574. Location: Maryland In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). Benefits merit increases paid holidays Paid Time Off incentive bonus programs (unless covered by a collective bargaining agreement) medical, dental, vision, short and long term disability benefits 401(k) +match stock purchase plan life insurance wellness programs and financial education resources Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Elevance Health is an Equal Opportunity Employer/Disability/Veterans. #J-18808-Ljbffr The Elevance Health Companies, Inc.