This position is responsible for the assessment of services delivered to members to ensure services delivered are consistent with funding requirements, best practices, provider's contracts, and federal/state rules and regulations. The person in this position monitors provider agencies and independent practitioners within the Vaya Health provider network receiving reimbursement for service provision under Medicaid, the Innovations waiver, and state funding. This position works with a team of reviewers, using monitoring tools and processes to identify instances of non-compliance that impact service/system quality. Monitoring activities may include investigations, record reviews, health and safety checks, and the provision of technical assistance. Focused monitoring may also be conducted as a result of trends identified in data reports, complaints, concerns, and incidents, or as a result of a directive by the NC DHHS to ensure quality of care of service for members. In addition, the Quality Assurance Specialist will monitor the implementation of interventions aimed at addressing areas of non-compliance, to ensure services are being delivered to members according to all applicable rules, regulations, and best practice models, and to ensure the health and safety of members.