Quality Assurance (QA) Coordinator
About The Position
Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives. Trillium Health Resources has a career opening for a Quality Assurance (QA) Coordinator to join our team! The Quality Assurance (QA) Coordinator is responsible for assuring the agencies’ compliance with state contractual requirements and national accreditation standards. This position is responsible for various quality assurance file reviews and quality improvement job activities throughout the organization. This employee will provide guidance and support to other Quality Management staff as needed. In addition to performing accreditation/compliance auditing activities, this position also supports the day-to-day operations of the Quality Management Department, such as managing committee support, data analysis/reporting, training, and other tasks as assigned.
Requirements
- High School Diploma/GED and a minimum of six (6) years of experience working with BH/MH/SU/IDD members and/or in the BH/MH/SU/IDD system; OR
- Associate’s degree and a minimum of four (4) years of experience working with BH/MH/SU/IDD members and/or in the BH/MH/SU/IDD system; OR
- Bachelor’s degree and a minimum of two (2) years of experience working with BH/MH/SU/IDD members and/or in the BH/MH/SU/IDD system; OR
- Equivalent combination of education/experience.
- Must have a valid driver’s license.
- Must reside within North Carolina.
- Must be able to travel within catchment as required.
Nice To Haves
- Human Services degree.
- Experience in a managed care environment. Previous experience in a QA/QI related position and previous participation in a national accreditation process are both highly preferred.
Responsibilities
- Maintain a working knowledge of all Federal Medicaid regulations, State rules and accreditation standards, and Trillium contractual requirements through ongoing review of documents such as contracts and manuals.
- Support the quality management department with the organization’s achievement and on-going maintenance of national accreditation. This may include participation in workgroups, interpretation of standards, identification and development of systems to meet minimum standards, scheduling and conducting reviews of the organization and any needed follow up as a result of those reviews.
- Assist with internal monitoring and evaluation of activities as needed to ensure compliance with accreditation standards and State requirements. In collaboration with other functional areas of the organization this position is responsible for measuring and tracking various performance indicators through ongoing assessment of the organization. When necessary, participate in the Quality Improvement Committee as a non-voting member.
- Develop audit tools (internal + external) based on requirements defined by DMH/DHB, CMS- Federal regs, and/or NCQA guidelines.
- Collaborate cross departmentally for TCL file reviews to ensure that network providers are monitoring for compliance with standards.
Benefits
- Typical working hours: 8:30 am – 5:00 pm; flexible work schedules with some roles with management approval.
- Work-from-home options available for most positions
- Health Insurance with no premium for employee coverage
- Flexible Spending Accounts
- 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
- NC Local Government Retirement Pension (defined-benefit plan) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook [https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook]
- 401k with 5% employer match and immediate vesting
- Public Service Loan Forgiveness (PSLF) qualifying employer
- Quarterly stipend for remote work supplies
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
251-500 employees
