Quality Assurance Analyst - HRSN

Job Summary

This position provides timely and accurate quality assurance, administrative, and analytical support for Care Oregon’s internal Rent Assistance team and the Health-Related Social Needs (HRSN) benefit. The role ensures that member benefit allocations and payments are accurate, timely, and compliant with applicable regulatory, contractual, and organizational requirements.

The position is hybrid; the employee is expected to work in the downtown Portland office 1x/week and may work from home as needed. The work schedule is Monday–Friday, 8:00 am–5:00 pm, with occasional travel outside the workplace.

$66,690.00 – $81,510.00

• Conduct timely and accurate quality assurance reviews of member benefit allocations prior to payment, ensuring alignment with state and federal regulations and Care Oregon policies.
• Review supporting documentation and system data to validate eligibility, benefit limits, accuracy of calculations, and appropriateness of payment amounts.
• Identify trends, patterns, and root causes of errors; proactively recommend corrective actions to improve quality, consistency, and productivity.
• Research claim, invoice, enrollment, and benefit processing issues to determine source, contributing factors, and appropriate resolution, escalating issues as needed.
• Collaborate with the Rent Assistance team to reduce rework by clarifying requirements, identifying gaps in documentation, and recommending process or workflow improvements.
• Develop, maintain, and distribute summary‑level, quality assurance, and performance reports for leadership and the Oregon Health Authority (OHA).
• Analyze data and quality review results to identify improvement opportunities, compliance risks, and training needs.
• Track corrective actions and outcomes to assess effectiveness of improvement efforts over time.
• Support audits, inquiries, and data requests by preparing accurate documentation and responsive analyses.
• Support the development and delivery of training materials, job aids, and guidance to proactively address quality trends, common errors, and policy updates.
• Partner with management and cross‑functional teams to ensure quality assurance reviews remain effective, relevant, and aligned with organizational needs.
• Participate in meetings and work groups related to HRSN benefits, rent assistance operations, and quality improvement initiatives.

• Perform accurate and timely data entry and accounting‑related support, including reviewing invoices, ledgers, rental statements, and utility bills to determine eligible reimbursement or payment amounts in accordance with benefit policies and procedures.
• Ensure all documentation is complete, properly stored, and accessible for reporting, audit, and compliance purposes.
• Utilize technology systems and databases effectively for documentation, quality tracking, reporting, and communication.
• Use standard Microsoft Office applications (Excel, Word, PowerPoint, Outlook), SharePoint, Workday, Unite Us, and other applicable systems to create and maintain documents, spreadsheets, charts, graphs, and reports.
• Independently manage special projects or ad hoc assignments as assigned, including process reviews, data clean‑up efforts, and pilot initiatives.

• Perform work in alignment with the organization’s mission, vision and values.
• Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
• Strive to meet annual business goals in support of the organization’s strategic goals.
• Adhere to the organization’s policies, procedures and other relevant compliance needs.
• Perform other duties as needed.

• Minimum 2 years’ experience in data quality assurance to include data entry, tracking, and reporting.
• Minimum 4 years’ experience in Medicaid, health plan operations, or managed care organizations.
• Experience with regulation and applying rules to a process.

• Experience in managed care.
• Experience in quality assurance or improvement.
• Experien…