Must reside in Louisiana for this role.
The Behavioral Health PTA serves as the primary provider-facing resource responsible for partnering with behavioral health providers, community mental health centers, health systems, and integrated delivery organizations to improve quality performance and adoption of best practices.
In addition to traditional practice transformation responsibilities, this role supports the expansion of behavioral health data exchange capabilities, including increased utilization of ADT feeds, clinical data sharing, supplemental data acquisition, and improved reporting workflows that enable more timely member intervention and performance monitoring.
Strategic ValueThe position will:
- Drive improvement in behavioral health quality measures.
- Support provider adoption of evidence-based behavioral health workflows.
- Strengthen provider accountability for quality performance.
- Improve transition-of-care management between inpatient, ED, and outpatient settings.
- Serve as the provider-facing liaison for behavioral health performance initiatives.
- Support implementation and optimization of ADT feed participation with behavioral health and hospital providers.
- Improve access to timely clinical information needed for intervention and follow-up activities.
- Advance interoperability and data-sharing capabilities across the behavioral health provider network.
Expected Outcomes- Improved Follow-Up After Hospitalization for Mental Illness (FUH).
- Improved Follow-Up After Emergency Department Visit for Mental Illness and Substance Use Disorder (FUM/FUA).
- Increased provider participation in data exchange initiatives.
- Improved access to real-time admission, discharge, and transfer notifications.
- Enhanced provider engagement and practice adoption of quality improvement strategies.
- Better identification and intervention for high-risk members.
Requirements:• 5-7 years of experience in healthcare quality improvement, provider relations, or a related role.
• In-depth knowledge of HEDIS, healthcare regulations, clinical operations, quality standards, and performance metrics.
• Licensed
Allied Health Professional or
Licensed Registered Nurse or LPN• Strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify improvement opportunities.
• Excellent communication, presentation and interpersonal skills to collaborate with and effectively influence provider groups and executives, team members, and stakeholders at all levels.
• Proven experience in designing and delivering training programs or educational initiatives.
• Proficiency in data management and analysis tools, such as Excel or data visualization software.
• Familiarity with electronic health record systems and healthcare information technology.
• Detail-oriented, organized, and able to manage multiple projects simultaneously.
• Ability to work independently, demonstrate initiative, and drive results in a fast-paced environment.
• Position is remote - secure home network required and familiar with Microsoft Office products and VPN. Must being willing to travel to provider sites as needed. This is rare but required if requested.
Preferred:• Coding or Provider facing, Clinical experience, or Provider Practice experience
• Certified Six Sigma Green Belt
• Certified Professional in Healthcare Quality (CPHQ) or equivalent
Education:
Bachelors Degree or equivalent experience/clinical training and licensure
Anticipated Weekly Hours40
Time TypeFull time
Pay RangeThe typical pay range for this role is:
$54,300.00 - $119,340.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 10/21/2026