About The Position

The Compliance & Quality Assurance Specialist monitors workforce activities and evaluates compliance with policies, procedures, and contract requirements. The role uses statistical sampling, audits, and observation to assess operations, and supports continuous quality improvement through ongoing review of operations and administrative systems. The specialist evaluates internal reports, prepares required monitoring documents, reviews customer survey data, and documents whether case managers complete timely and accurate case management activities in required systems. The role also ensures caseload performance reviews conform to State guidelines and provides monitoring reports to the QA Manager. The position requires effective communication with management and staff, sound judgment, and diplomacy. Other duties may be assigned.

Requirements

  • Familiarity with applicable federal, state, and local laws and regulations.
  • Ability to work in a complex, fast-paced, and confidential environment.
  • Excellent written and verbal communication skills.
  • Computer literacy and ability to use software for correspondence, reports, statistical compilation and analysis, and database access.
  • Directly related work experience in performance monitoring.

Nice To Haves

  • Bachelor's degree or two years of case management experience preferred.

Responsibilities

  • Conduct surveillance of workforce activities using statistical sampling, audits, and observation to evaluate compliance with policies, procedures, and contract requirements.
  • Implement continuous quality improvement through ongoing review of operations and administrative systems.
  • Evaluate internal reports and provide required monitoring documents.
  • Develop and implement continuous quality improvement processes.
  • Regularly review customer survey data.
  • Communicate effectively with management and staff using good judgment and diplomacy.
  • Document whether case managers perform timely and accurate case management activities in all required systems.
  • Ensure caseload performance reviews conform to State guidelines on outlined indicators.
  • Provide monitoring reports to the QA Manager.
  • Perform other duties as assigned.

Benefits

  • Extensive learning opportunities
  • Networking programs
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