Remote HEDIS LPN

Behavioral Health Performance Supervisor

We are seeking a dedicated Behavioral Health Performance Supervisor to lead and enhance interventions aimed at meeting behavioral health HEDIS and Pay for Performance measures. This role involves collaborating with health plans and regional clinical leadership to implement strategies that boost HEDIS rates in behavioral health metrics.

Responsibilities:

• Develop and implement innovative strategies in collaboration with clinical staff to improve compliance with key behavioral health HEDIS metrics and Pay for Performance (P4P) Measures.
• Prepare and present financial impact and return on investment for initiatives requiring additional funding or resources.
• Act as a liaison with quality improvement, health plan medical management, and other departments regarding current and planned interventions.
• Collect input on how to impact outcomes and provide feedback to stakeholders on results.
• Monitor the effectiveness of new and existing P4P and HEDIS initiatives, ensuring appropriate knowledge, education, and interventions for members within these measures.
• Analyze data to identify trends or potential quality and clinical improvement opportunities based on best practices and stakeholder feedback.

Essential Skills:

• Bachelor's degree in nursing, a related field, or equivalent experience.
• 3+ years of experience in case and/or utilization management in a behavioral health or physical health care setting.
• Knowledge of key behavioral or physical health-related HEDIS and performance measures.
• Experience in implementing new interventions to affect HEDIS rates.

Additional Skills & Qualifications:

• Supervisory or lead experience preferred.
• Current state's unrestricted license as an LMFT, LPC, PhD, PsyD, or RN preferred.
• Experience with quality improvement and HEDIS.

Work Environment:

The role involves working closely with clinical and administrative teams to develop and implement strategic interventions. It requires a collaborative environment where feedback from various stakeholders is valued to enhance performance measures.

Job Type & Location:

This is a Contract position based out of Dallas, TX.

Pay and Benefits:

The pay range for this position is $30.00 - $34.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type:

This is a fully remote position.

Application Deadline:

This position is anticipated to close on Nov 20, 2025.

About Actalent:

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actatalentaccommodation@actalentservices.com for other accommodation options.