Quality Assurance Specialist
The Quality Assurance Specialist is responsible for monitoring evaluating and improving program performance across the organization. This role ensures regulatory compliance supports the development and implementation of quality initiatives manages incident reporting processes and partners with leadership to maintain adherence to state federal and accreditation standards. The Quality Assurance Specialist plays a critical role in promoting continuous improvement risk mitigation and high-quality service delivery throughout LEL. Reports to: Executive Director of Quality Services Key Responsibilities Initiate the development review and implementation of Standard Operating Procedures (SOPs) for monitoring and auditing program performance by department. Identify and report compliance issues that arise during daily workflows recommending necessary corrections. Ensure adherence to all state federal and CARF accreditation standards including preparation documentation and reporting. Maintain up-to-date knowledge of compliance regulations guidelines and best practices. Assist with quality investigations and provide recommendations for corrective actions. Create maintain and manage organizational compliance programs records incidents concerns reports complaints and investigations. Prepare submit and track Plans of Correction (POCs) in response to audit deficiencies; ensure follow-through on all corrective actions. Ensure presence on-site during program licensing audits providing documents data and support to auditors upon request. Attend audit entrance and exit meetings ensuring all required follow-up actions are addressed. Conduct internal quality assurance reviews audits and project summaries to support ongoing compliance and performance improvement. Oversee and manage the full incident reporting process ensuring proper documentation and timely reporting to oversight agencies as required. Coordinate and lead monthly Incident Review Committee meetings; maintain all related records and filing systems. Analyze incident trends to identify risks and recommend proactive measures to ensure safe and positive outcomes for individuals served. Identify training needs within departments and make recommendations to leadership. Train staff on applicable regulations compliance requirements and quality standards. Support the rollout of organizational quality initiatives and reinforce best practices across all departments. Partner with departments to ensure continuous improvement and alignment with organizational goals. Research state regulations and industry standards to support compliance strategy and decision-making. Perform other duties related to quality and compliance as assigned by LEL leadership. Qualifications Bachelors degree in healthcare compliance social work human services or a related area of study required. Three (3) or more years of experience in healthcare compliance or a related field preferred. Demonstrable experience with state and federal Medicaid Waiver laws rules regulations and practices required. Mastery of competencies related to CARF accreditation and state administrative code. Strong business administration background. Strong interpersonal and relationship-building skills. Customer service oriented. Ability to work independently and meet deadlines. Ability to work with sensitive information. Capable of multi-tasking and prioritizing multiple projects. Strong organizational skills and detail oriented. Excellent problem-solving skills. Excellent written and oral communication skills. Requirements Ability to sit for extended periods while performing desk-based tasks. Frequent use of hands and fingers to operate computers and phones. Visual and auditory ability to effectively read type and communicate in person and via phone or virtual platforms. Ability to maintain focus and attention to detail in a fast-paced environment.
| Required Experience:
IC
Quality Assurance SpecialistThe Quality Assurance Specialist is responsible for monitoring evaluating and improving program performance across the organization. This role ensures regulatory compliancesupports the development and implementation of quality initiatives manages incident reporting proces...
Quality Assurance Specialist
The Quality Assurance Specialist is responsible for monitoring evaluating and improving program performance across the organization. This role ensures regulatory compliance supports the development and implementation of quality initiatives manages incident reporting processes and partners with leadership to maintain adherence to state federal and accreditation standards. The Quality Assurance Specialist plays a critical role in promoting continuous improvement risk mitigation and high-quality service delivery throughout LEL. Reports to: Executive Director of Quality Services Key Responsibilities Initiate the development review and implementation of Standard Operating Procedures (SOPs) for monitoring and auditing program performance by department. Identify and report compliance issues that arise during daily workflows recommending necessary corrections. Ensure adherence to all state federal and CARF accreditation standards including preparation documentation and reporting. Maintain up-to-date knowledge of compliance regulations guidelines and best practices. Assist with quality investigations and provide recommendations for corrective actions. Create maintain and manage organizational compliance programs records incidents concerns reports complaints and investigations. Prepare submit and track Plans of Correction (POCs) in response to audit deficiencies; ensure follow-through on all corrective actions. Ensure presence on-site during program licensing audits providing documents data and support to auditors upon request. Attend audit entrance and exit meetings ensuring all required follow-up actions are addressed. Conduct internal quality assurance reviews audits and project summaries to support ongoing compliance and performance improvement. Oversee and manage the full incident reporting process ensuring proper documentation and timely reporting to oversight agencies as required. Coordinate and lead monthly Incident Review Committee meetings; maintain all related records and filing systems. Analyze incident trends to identify risks and recommend proactive measures to ensure safe and positive outcomes for individuals served. Identify training needs within departments and make recommendations to leadership. Train staff on applicable regulations compliance requirements and quality standards. Support the rollout of organizational quality initiatives and reinforce best practices across all departments. Partner with departments to ensure continuous improvement and alignment with organizational goals. Research state regulations and industry standards to support compliance strategy and decision-making. Perform other duties related to quality and compliance as assigned by LEL leadership. Qualifications Bachelors degree in healthcare compliance social work human services or a related area of study required. Three (3) or more years of experience in healthcare compliance or a related field preferred. Demonstrable experience with state and federal Medicaid Waiver laws rules regulations and practices required. Mastery of competencies related to CARF accreditation and state administrative code. Strong business administration background. Strong interpersonal and relationship-building skills. Customer service oriented. Ability to work independently and meet deadlines. Ability to work with sensitive information. Capable of multi-tasking and prioritizing multiple projects. Strong organizational skills and detail oriented. Excellent problem-solving skills. Excellent written and oral communication skills. Requirements Ability to sit for extended periods while performing desk-based tasks. Frequent use of hands and fingers to operate computers and phones. Visual and auditory ability to effectively read type and communicate in person and via phone or virtual platforms. Ability to maintain focus and attention to detail in a fast-paced environment.
| Required Experience:
IC
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