[Hiring] Quality Improvement Lead @Lyra Health

Role Description

Lyra Health is looking for a Quality Improvement Lead to support our Clinical Quality Department and ensure high-quality, safe, and compliant care. This role supports continuous survey readiness and adherence to regulatory and accreditation standards and is responsible for enhancing care, safety, and operational efficiency by analyzing data, identifying areas for improvement, and implementing evidence-based strategies. They play a key role in fostering a culture of continuous improvement across our organization and guide cross-functional teams in improving program performance.

• Lead Behavioral Health Performance Improvement activities, track performance trends and incidents, conduct Root Cause Analysis, and ensure high quality and culturally responsive care.
• Lead continuous survey readiness activities (mock surveys, tracer methodology) for external audits, interpret and operationalize regulatory requirements into clinical workflows and policies, ensure contracted services meet accreditation standards, and ensure ongoing compliance with all applicable regulations and standards.
• Conduct chart audits for timely assessments, treatment plans, medical necessity, and discharge planning, identify risks and implement corrective actions, and partner with supervisors on provider documentation issues.
• Track key metrics, support Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) processes for licensed providers, and develop dashboards and reports for leadership review.
• Educate staff on documentation, risk assessment, incident reporting, and quality improvement processes, support competency validation, and address performance gaps with leadership.
• Coordinate Behavioral Health Quality/Performance Improvement Committee, partner with Risk Management/Compliance on investigations and mitigation strategies, and support Performance Improvement plan development and annual evaluation.
• Analyze, develop and monitor clinical QI activities to ensure compliance with customer guarantees and lead clinical quality audits with benefits and customer teams.
• Investigate and resolve behavioral health quality of care complaints and grievances.
• Other duties as assigned.

Qualifications

• Master’s or doctoral degree from a behavioral health clinical track (e.g., LCSW, LMHC, LPC, MSW, LMFT, LPC, Ph.D, Psy.D.)
• Current unrestricted license to practice within the United States
• 3+ years in behavioral health, quality improvement, or compliance, with experience in chart audits, incident review, and regulatory surveys.
• Strong understanding of Behavioral Health clinical workflows and documentation requirements, coupled with a high attention to detail and regulatory compliance.
• Knowledge of performance improvement methodologies (PDSA, Lean, Six Sigma).
• Data analysis and interpretation skills.
• Ability to collaborate with multidisciplinary teams and influence practice change.

Requirements

• $133,000 - $148,000 a year
• As a full-time Quality Improvement Lead, you will be employed by Lyra Health, Inc. The anticipated annual base salary range for this full-time position is $133,000 - $148,000. The base range is determined by role and level, and placement within the range will depend on a number of job-related factors, including but not limited to your skills, qualifications, experience, and location. This role may also be eligible for discretionary bonuses.

Benefits

• Comprehensive healthcare coverage (including medical, dental, vision, FSA/HSA, life and disability insurances)
• Lyra for Lyrians; coaching and therapy services
• Equity in the company through discretionary restricted stock units
• Competitive time off with pay policies including vacation, sick days, and company holidays
• Paid parental leave
• 401K with up to 3% matching
• Monthly tech allowance
• Well-being perks and activities, surprise swag, regular community celebration…and more!