Quality Improvement Lead

United StatesRemoteFull-timelead

OtherQuality

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Overview

About Lyra Health Lyra Health is a leading provider of evidence-based mental health care,

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OtherQuality

About Lyra Health

Lyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally in partnership with employers and more than 100 million through health plan and partner relationships. The company has delivered more than 15 million sessions of mental health care, published more than 35 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness, and cost efficiency. Extensive peer-reviewed research confirms Lyra’s transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions.

About the Role

~2 min read

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 (e.g. The Joint commission Behavioral Health Care and Human Services 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 (e.g., The Joint Commission Behavioral Health 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

Ethical and Confidential Practice: Adherence to legal and ethical standards in health care delivery, maintaining patient confidentiality, and ensuring HIPAA-compliant documentation and communication.

Time Management, Organization, and Responsivity: Ability to balance multiple tasks, including managing schedules, and collaborating with the quality team, while maintaining accurate records and staying organized. Ability to manage a task list, and set priorities effectively. Demonstrated ability to manage time effectively while ensuring timely communication and follow-up within and outside the clinical team, the client/family, and their community ensuring continuity of care.

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.

"We are an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information or any other category protected by law.

By applying for this position, you acknowledge that your personal information will be processed as per the Lyra Health Workforce Privacy Notice. Through this application, to the extent permitted by law, we will collect personal information from you including, but not limited to, your name, email address, gender identity, employment information, and phone number for the purposes of recruiting and assessing suitability, aptitude, skills, qualifications, and interests for employment with Lyra. We may also collect information about your race, ethnicity, and sexual orientation, which is considered sensitive personal information under the California Privacy Rights Act (CPRA) and special category data under the UK and EU GDPR. Providing this information is optional and completely voluntary, and if you provide it you consent to Lyra processing it for the purposes as described at the point of collection, for example for diversity and inclusion initiatives. If you are a California resident and would like to limit how we use this information, please use the Limit the Use of My Sensitive Personal Information form. This information will only be retained for as long as needed to fulfill the purposes for which it was collected, as described above. Please note that Lyra does not “sell” or “share” personal information as defined by the CPRA. Outside of the United States, for example in the EU, Switzerland and the UK, you may have the right to request access to, or a copy of, your personal information, including in a portable format; request that we delete your information from our systems; object to or restrict processing of your information; or correct inaccurate or outdated personal information in our systems. These rights may be subject to legal limitations. To exercise your data privacy rights outside of the United States, please contact globaldpo@lyrahealth.com. For more information about how we use and retain your information, please see our Workforce Privacy Notice."