Administrative and Quality Assurance Manager

Administrative and Quality Assurance Manager

Location:Pittsburgh PA
Job Type:Full-Time (40.00hours per week)
Salary:Competitive; commensurate with experience
Department:Human Services Administration Organization (HSAO)

About Us

At Human Services Administration Organization (HSAO) we are dedicated to providing comprehensive service coordination to individuals and families across Allegheny County. Our mission spans behavioral health drug and alcohol services justice-related programs and community support. We believe in fostering recovery resilience and full inclusion in the community through collaborative person-centered care.

Position Overview

The Administrative and Quality Assurance Manager is responsible for overseeing administrative operations regulatory compliance and quality assurance processes across the organization. This role ensures accurate record management supports audit readiness maintains credentialing requirements and manages key systems and staff to promote operational efficiency and compliance with applicable position reports directly to the Executive Director.

Key Responsibilities

1. Records Management & Compliance

• Coordinate and fulfill individual client record requests in accordance with organizational policies and regulatory requirements.

• Maintain accurate secure and up-to-date records to ensure compliance with confidentiality and HIPPA standards.

2. Audit & Quality Assurance Support

• Facilitate and prepare documentation for Fraud Waste and Abuse (FWA) audits and Program Quality audits.

• Ensure timely and accurate submission of required materials to auditors and regulatory bodies.

• Support ongoing quality assurance initiatives and continuous improvement efforts.

• Develop implement and monitor quality assurance (QA) programs andinitiatives.

• Ensure compliance with federal state and local regulations as well as fundingrequirements.

• Conduct regular audits of case files documentation and servicedelivery.

• Prepare reports for leadership funders and regulatoryagencies.

• Support accreditation and licensing processes asapplicable.

• Collaborate with program managers to enhance service quality and clientoutcomes.

3. Credentialing & Regulatory Reporting

• Complete and submit managed care credentialing reassessments within required timeframes.

• Monitor credentialing requirements and maintain compliance with payer and regulatory standards.

4. Electronic Health Record (EHR) & Systems Administration

• Serve as System Administrator for the HRIS/EHR system including:

• Managing user access and permissions

• Maintaining system navigation structures

• Providing network support and troubleshooting

• Responsible for managing system upgrades to assess operational impact and implementation.

• Oversee the Finance Module including invoicing contract management and billing processes.

5. Financial Oversight & Reporting

• Oversee invoicing processes to ensure accuracy timeliness and compliance with contractual requirements.

• Prepare and monitor financial and operational reports as required by leadership and external stakeholders.

6. Staff Supervision & Operations

• Supervise Administrative Support staff and theoperationsCoordinator.

• Provide leadership training and performance management to ensure efficient administrative operations.

• Develop and implement workflow improvements to enhance productivity and service delivery.

7. Risk Management

• Monitor incidents and ensure proper reportingfollow-upand tracking data base.

• Maintain policies related to confidentiality HIPAA and ethicalstandards.

• Address compliance issues and recommendsolutions.

Skills andCompetencies

• Regulatory and compliance knowledge

• Systems and process management

• Communication and coordination skills

• Excellent organizational and project management skills

• Data analysis and reporting proficiency

• Effective communicationand leadership abilities

• Attention to detail and problem-solvingskills.

Required Skills and Qualifications

Qualifications

• Bachelors degree in Healthcare Administration Business Administration or related field (or equivalent experience).

• 5years of experience in healthcare administration quality assurance or compliance.

• At least 2 years management or supervisory experience

• Knowledge of credentialing processes audits and regulatory requirements (e.g. FWA).

• Experience with Electronic Health Records (EHR/HRIS) systems administration.

• Strong organizational analytical and problem-solving skills.

Additional Requirements

• Act 33 Act 34 andFBI clearances(required upon hire).

• ValidPennsylvania drivers licenseand access to a personal vehicle with current insurance coverage.

Work Conditions and Benefits

• Full-time positionwith a flexible hybrid work model including remote administrative tasks.

• Mileage and parking reimbursement for fieldwork.

• Competitivesalary and benefits including medical dental and vision insurance.

• Paid time off (PTO) holidays and aretirement savings plan.

Why Join Us

At HSAOyou willbecome part of adynamic and mission-driven organizationcommitted to empowering individuals and families. Through our collaborative approachyou willhave the opportunity to work alongside community partners make a real impact and grow professionally.