Manager of Behavioral Health Quality
Salary Range: $110,000 – $119,500 per year
Location: New York, NY –  Hybrid, 2 days in the office and 3 days remote
Position Summary
A leading New York City healthcare organization is seeking an experienced Manager of Behavioral Health Quality to lead and strategically develop Quality Improvement (QI) initiatives focused on Behavioral Health (BH) performance. This role manages cross-functional quality initiatives, data analysis, provider strategies, and regulatory projects designed to improve behavioral health outcomes and performance. The Manager will work closely with Behavioral Health Care Management, Pharmacy, clinical teams, providers, and other departments, with significant responsibility for HEDIS, QARR, NCQA, CMS, NYS Department of Health, and other regulatory requirements.
Responsibilities
Schedule / Shift

• Full-Time, Hybrid, 2 days in the office and 3 days remote, New York, NY

Key Duties

• Define and strategically formulate the member and provider Quality Improvement strategy for Behavioral Health metrics and support organizational goals for high-quality behavioral health services.
• Manage QI Specialists and Clinical Outreach Specialists in the design, implementation, and evaluation of HEDIS/QARR, regulatory, member engagement, and quality improvement initiatives.
• Lead data analytics, root-cause analysis, and program evaluation efforts to identify improvement opportunities and develop innovative solutions for behavioral health quality metrics.
• Drive provider quality strategy by meeting with high-volume and high-impact provider groups, sharing performance data, developing improvement plans, and strengthening linkages between inpatient, outpatient, behavioral health, and medical care.
• Monitor quality and performance improvement projects and regulatory initiatives, including performance indicators, outcomes, interventions, provider education, committee participation, and reporting to applicable regulatory bodies.
• Develop member and provider incentive strategies, internal trainings, tools to address gaps in care, and electronic data processes to improve data integrity and completeness.
• Apply PDSA methodology consistently to quality improvement work and support process improvement strategies including DMAIC.

Requirements
Education

• Required: Master's degree in a clinical field.

Experience

• Minimum of 10 years of healthcare experience, including both clinical and Managed Care experience.
• Minimum of 5 years of staff management experience.
• Expert-level knowledge of HEDIS and QARR requirements.
• Experience and proficiency in data analysis; working knowledge of relational databases and statistical analysis is a plus.
• Strong project management and documentation skills.
• Working knowledge of Quality Improvement and process improvement methodologies, including PDSA and DMAIC.

Licenses & Certifications

• Required: Valid New York State license and current registration as an RN, LPN, LMSW, LCSW, or LMHC.
• Preferred: Six Sigma Yellow Belt or Green Belt.

Skills

• Proven ability to lead, develop, and manage staff while fostering accountability and collaboration.
• Strong analytical, problem-solving, organizational, project management, and decision-making skills.
• Excellent written and verbal communication skills, with the ability to explain clinical and analytical data to varied audiences.
• Ability to manage multiple priorities and deadlines in a fast-paced environment with strong attention to detail.
• Proficiency in Microsoft Word, PowerPoint, Excel, and Access; adaptable and comfortable learning new systems and processes.

About Us
RCM Healthcare Services works with professionals across schools, healthcare, and community-based settings nationwide. We support both contract and direct hire opportunities, connecting people early in their careers and experienced professionals to roles that align with their experience and preferences. With more than 50 years of staffing experience, our team understands the environments you're stepping into and what it takes to be successful in them. We stay closely involved from first conversation through placement, with consistent communication, a reliable point of contact, and follow-through at every step. We're committed to caring for the professionals we work with and the communities they support, and offer competitive pay and benefits designed to support your well-being. RCM Healthcare Services is Joint Commission certified, reflecting a commitment to quality, compliance, and a consistent experience.

Equal Employment Opportunity & Reasonable Accommodation
RCM Technologies is an equal opportunity employer and values diversity. We are committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state laws. If you require a reasonable accommodation to apply for or perform this role, please contact us and we will engage in an interactive process to support your needs.