Quality Assurance & Compliance Lead

Fusion Advanced Technology•Baltimore, MD

About The Position

This role is responsible for establishing QA plans, reviewing standards, scorecards, and control routines. The lead will also be responsible for leading sample reviews, secondary reviews, trend analysis, and corrective-action planning. This position will coordinate QA findings with operations leaders, training, program integrity, and reporting teams. Additionally, the role supports audit readiness, record reviews, and compliance with evidence requests. The lead will monitor SLA-related quality trends and identify patterns affecting timeliness or accuracy, and prepare monthly QA and compliance reporting for internal and State review.

Requirements

Six or more years of administrative, quality, audit, compliance, or professional review experience, including leadership responsibility for a QA or control function.
6+ years total relevant experience
2+ years in QA, compliance, audit support, review leadership, or supervisory control work

Nice To Haves

Bachelor’s degree preferred.
Direct regulated public program, Child Care Scholarship, Maryland public sector, or payment integrity/control environment experience strongly preferred.
Experience in public program operations, case review, provider payment review, or regulatory compliance environments.
Experience designing review criteria, conducting root-cause analysis, and developing targeted training responses.
Experience supporting audits and developing quality dashboards or trend summaries.
Knowledge of federal and State regulations in a benefits or education environment.

Responsibilities

Establish QA plans, review standards, scorecards, and control routines.
Lead sample reviews, secondary reviews, trend analysis, and corrective-action planning.
Coordinate QA findings with operations leaders, training, program integrity, and reporting teams.
Support audit readiness, record reviews, and compliance with evidence requests.
Monitor SLA-related quality trends and identify patterns affecting timeliness or accuracy.
Prepare monthly QA and compliance reporting for internal and State review.