Quality Assurance Specialist

Quality Assurance Specialist

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.

Qualifications:

• 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.

Education:

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