Quality Assurance Specialist

About the Role

Key Responsibilities

• Conducts surveillance of workforce activities and uses statistical sampling, audit, and observation techniques to evaluate compliance with policies and procedures and adherence to contract requirements
• Implements a continuous quality improvement process through the continuing review of operations and administrative systems
• Evaluates internal reports and provides all required monitoring documents
• Develops and implements continuous quality improvement processes
• Reviews customer survey data regularly
• Communicates effectively with management and staff, using good judgment and diplomacy
• Documents case managers are performing timely and accurate case management activities in all required systems
• Ensures performance reviews of caseload conform with State guidelines on all outlined indicators
• Provides monitoring reports to QA Manager
• Other duties assigned

Requirements

• Familiarity with applicable federal, state, and local laws and regulations
• Accustomed to a complex, fast-paced, and confidential work environment
• Excellent written and verbal communication skills
• Computer literate, able to use various software programs for correspondence, reports, statistical compilation and analysis, and database access

Qualifications

• Bachelor's Degree or two years case management experience preferred
• Directly related work experience in performance monitoring