QUALITY ASSURANCE & CONTRACTS SPECIALIST -HYBRID

SJRC Texas Inc•New Braunfels, TX

25m•Hybrid

About The Position

The Quality Assurance and Contract Specialist is responsible for ensuring compliance with all processes, regulations, and minimum standards as outlined in the Provider contract. This role collaborates with the network of providers under contract with Belong to review, monitor, and report performance on all aspects of substitute care. Additionally, the Quality Assurance Specialist works with the provider network to develop and implement performance improvement plans and tracks results to ensure all issues are remediated.

Requirements

Bachelor’s Degree from an accredited college or university in Social Services, Accounting, Business Management, or related field. Experience and education years may be combined to meet education requirement.
3+ years in Child Welfare, Data Analysis, Quality Assurance & Contracts
3+ years’ experience
Valid Texas Driver’s License, good driving record, ability to provide own transportation and proof of current automobile insurance.

Nice To Haves

Master’s Degree from an accredited college or university in Accounting, Business Management, or related field.

Responsibilities

Develop qualitative indicators, outcomes, and outputs to objectively measure Provider performance and leverage those measures to improve services, in collaboration with the Vice President and Supervisor of Quality Assurance and Contracts.
Review the results of quality assurance reviews and other outputs such as critical incident reports and grievances and appeals, to recommend and initiate system/process improvements.
Measure performance outcomes established at the federal and state level in relation to Belong and its provider network.
Ensure Provider implements a defined process to complete and review background checks and to verify staff education levels and professional licenses.
Review and analyze cases, notes, deficiencies, and extract data to be verified; collect performance data; identify adverse trends; and determine compliance with service delivery standards, program requirements, and policies/procedures.
Work with and support network providers in Quality Improvement efforts to mitigate risks and improve outcomes for children in their care.
Provide recommendations and execute solutions in Performance Quality Improvement meetings to ensure outcomes are achieved.
Maintain strong business relationships with provider network staff to facilitate collaboration and cooperation.
Serve as a liaison to monitor and assure response to all client-reported concerns and complaints relating to services provided by Belong or the Provider Network.
Review financial records in collaboration with the Finance Department to ensure accurate billing.
Create and produce reports reflecting the performance measures of the provider network; identify trends and make recommendations for improvements.
Collaborate with the Training Department to conduct trainings based on areas of expertise that can benefit Network providers, Belong employees, or SJRC Texas employees.
Adhere to all policies and procedures of the agency and its accrediting and standard setting bodies such as Council on Accreditation and state licensing.
Maintain client confidentiality per Belong standards and all applicable codes of ethics.
Learn, understand, and support the Belong mission, purpose, and function.
Carry out the Trauma Informed Care principles and practices for both internal and external stakeholders.
Be responsible for the environmental, cultural, safety, diversity issues and needs of the clients and others that enter the work area.
Attend mandatory trainings as defined in the position's training matrix.
Attend continuing education as necessary to expand knowledge and maintain certifications or licenses.
Use outside professional collaboration and intra-agency teamwork appropriate to the agency.
Organize work in an environment with multiple challenges and priorities with minimal supervision.
Avoid all conflicts of interest, real or perceived.
Perform other related duties as assigned.