QA Specialist

Riverbend Community Mental Health, Inc.•Concord, NH

About The Position

Riverbend Community Mental Health is seeking a QA Specialist to join their Quality Assurance team. This role is crucial for strengthening clinical quality, regulatory compliance, risk management, and continuous improvement within the agency. The QA Specialist will ensure that clinical documentation, services, and operational practices meet state and federal requirements, Medicaid standards, SAMHSA expectations, and accreditation requirements. This position involves collaborating with clinical and administrative teams to identify improvement opportunities, monitor performance, support corrective actions, and promote practices that lead to better outcomes for clients. The ideal candidate is detail-oriented, analytical, enjoys investigating details, identifying trends, solving problems, and translating data into meaningful improvements.

Requirements

Bachelor's degree in healthcare administration, public health, human services, paralegal or related field; Master’s degree preferred.
Demonstrated experience can be substituted for educational requirement.
Two to five (2-5) years’ experience in compliance, quality improvement, or healthcare operations.
Behavioral Health clinical experience preferred.
Detail-oriented, analytical, and passionate about quality, compliance, and improving behavioral health services.
Experienced in healthcare, behavioral health, quality assurance, compliance, auditing, or a related field.
Strong communicator who can 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.
Comfortable working independently while exercising sound judgment, discretion, and attention to confidentiality.

Nice To Haves

Familiarity with Medicaid, SAMHSA, accreditation, clinical documentation, and regulatory standards is a plus.

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 the development of 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 completion and effectiveness.
Assist with data collection, analysis, and performance monitoring.

Benefits

Competitive wages depending on level of education and experience.
Choice of 3 Medical plans
Prescriptions Benefits
Health Reimbursement Account (HRA)
Flex Spending Account (FSA)
Doctor on Demand
Harvard Pilgrim Well-Being Program Benefits
Choice of 2 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
8 Paid Holidays
403(b) Retirement Plan with company match
Tuition reimbursement, discounts on tuition through partnered colleges and training opportunities to grow your career
Qualifying Employer for the Public Service Loan Forgiveness Program and NH State Loan Repayment Program
Structured clinical supervision, ongoing training, and a collaborative environment designed to help Graduate Level, license-eligible clinicians build skills, confidence, and a long-term career.