Develop and implement quality assurance policies and procedures.
Conduct regular audits and assessments to ensure compliance with regulatory standards.
Monitor and analyze quality performance metrics and provide recommendations for improvement.
Provide training and support to staff on compliance requirements and quality assurance practices.
Prepare reports for management detailing compliance status and improvement initiatives.
Collaborate with other departments to address compliance issues and enhance service delivery.
Stay current with industry regulations and best practices related to quality compliance.
Requirements
Bachelor’s degree in Public Policy or other related field or equivalent years of experience
3 years’ experience with Medicaid, State and Federal funding regulations
Knowledge and experience conducting Medicaid audits, review of legal documents, and regulation analysis
Skilled in the use of process improvement tools and methodologies
Skilled in managing multi-faceted projects across multidisciplinary teams in organized and cost effective manners, using Project management techniques, tools and the model for improvement framework
Knowledge of statistics, data collection, analysis, and data presentation
Excellent interpersonal communication and problem-solving skills
Knowledge of federal and state laws and regulations, and accreditation standards
Proven success interacting with customers, peers, senior management and other functional areas to assure the best quality systems are in place and being adhered