Quality Assurance Analyst - HRSN

Quality Assurance Analyst - HRSN

This position is responsible for providing 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. This is a hybrid position with the expectation to come to the downtown Portland office 1x/week.

We are looking for candidates located in Portland Metro.

Estimated Hiring Range: $66,690.00 - $81,510.00

Bonus Target:
Bonus - SIP Target, 5% Annual

Current Care Oregon Employees:
Please use the internal Workday site to submit an application for this job.

Quality Assurance

• 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.

Administrative Support

• 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.

Experience and/or Education

Required

• 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…