UPMC Community Care Behavioral Health is hiring a full-time Quality Management Clinician to join the Quality team. This is a hybrid role that will work onsite at downtown Pittsburgh's US Steel Tower or provider sites three days per week. This role will involve some local travel to providers within the Pittsburgh region.

The Quality Management Clinician is responsible for performing functions related to quality management and improvement, in compliance with NCQA, HEDIS, URAC and the Commonwealth of Pennsylvania Department of Health quality assurance regulations.

Responsibilities:

+ Conduct targeted clinical audits and focused quality studies.
+ Support preparation for NCQA, URAC, and other regulatory or accreditation reviews.
+ Monitor quality tracking reports, provide feedback to staff and committees, and aggregate data on a monthly basis.
+ Analyze data to identify trends related to services and participating providers.
+ Prepare monthly and quar...