Quality Improvement Lead

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
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.
Responsibilities
- 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.

Competencies
- Clinical Knowledge: A strong understanding of mental health conditions, empirically supported treatment options, and patient progress evaluation.
- Knowledge of Cultural Factors: Ability to recognize cultural, linguistic, and socioeconomic differences in client populations and sharing this information with the interprofessional team to ensure accurate communication with diverse clients, families and needs.
- Virtual Platforms and Remote Services: Ability to interact through secure virtual platforms. Ability to maintain the integrity, privacy, and security of private and confidential data in a virtual health care setting.
- Detail Oriented/Documentation: Proficiency with utilizing Electronic Health Record(s), and other platf