QA Specialist
About The Position
Riverbend Community Mental Health is seeking a QA Specialist to strengthen clinical quality, regulatory compliance, risk management, and continuous improvement across the agency. The role helps ensure that clinical documentation, services, and operational practices meet applicable state and federal requirements, Medicaid standards, SAMHSA expectations, and accreditation requirements. The specialist works collaboratively with clinical and administrative teams to identify improvement opportunities, monitor performance, support corrective action, and promote practices that improve outcomes for individuals and families served. This is a 100% on-site position at Riverbend’s Concord, New Hampshire office. Remote work and hybrid scheduling are not available. The role suits someone who is detail-oriented and analytical, enjoys investigating details and identifying trends, and can turn data and findings into meaningful improvements.
Requirements
- Bachelor's degree in healthcare administration, public health, human services, paralegal studies, or a related field; demonstrated experience may substitute for the education requirement.
- Two to five years of experience in compliance, quality improvement, or healthcare operations.
- Detail-oriented, analytical, and passionate about quality, compliance, and improving behavioral health services.
- Strong communication skills and ability to build collaborative relationships across clinical, administrative, and leadership teams.
- Organized and able to manage multiple audits, projects, deadlines, and priorities.
- Skilled at analyzing information, identifying trends, and turning findings into practical improvements.
- Able to work independently while exercising sound judgment, discretion, and attention to confidentiality.
Nice To Haves
- Master’s degree preferred.
- Behavioral health clinical experience preferred.
- Familiarity with Medicaid, SAMHSA, accreditation, clinical documentation, and regulatory standards.
Responsibilities
- Participate in risk management and quality improvement through chart audits.
- Investigate complaints, grievances, and compliance concerns; document findings and recommend corrective actions.
- Coordinate and monitor incident reporting, breach investigations, and required notifications.
- Monitor and assist in developing key performance indicators (KPIs) and quality metrics, identifying trends for improvements in service delivery.
- Review sentinel events and other significant occurrences; assist with root cause analyses and follow-up actions.
- Track corrective action plans and monitor their completion and effectiveness.
- Assist with data collection, analysis, and performance monitoring.
Benefits
- Competitive wages depending on education and experience.
- Choice of three medical plans.
- Prescription benefits.
- Health Reimbursement Account (HRA).
- Flexible Spending Account (FSA).
- Doctor on Demand.
- Harvard Pilgrim Well-Being Program benefits.
- Choice of two dental plans.
- Vision plan.
- Short- and long-term disability, life, and supplemental life insurance plans.
- Employee Assistance Program (EAP).
- Generous paid time off (PTO) accrual and extended illness leave.
- Eight paid holidays.
- 403(b) retirement plan with company match.
- Tuition reimbursement, tuition discounts through partner colleges, and training opportunities.
- Qualifying employer for the Public Service Loan Forgiveness Program and NH State Loan Repayment Program.
- Structured clinical supervision and ongoing training for graduate-level, license-eligible clinicians.
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What This Job Offers
Job Type
Full-time
