Quality Assurance Analyst

Job Summary

A company is looking for a Quality Assurance & Compliance Analyst.

Key Responsibilities

• Conduct audits of case files, billing, and service delivery for compliance with Medicaid waiver and DMAS regulations
• Develop monitoring tools and identify compliance gaps, recommending corrective action plans
• Prepare compliance reports and maintain organized records of audit results and activities

Required Qualifications

• 3+ years of experience in compliance, auditing, or quality assurance in relevant fields
• In-depth knowledge of DMAS Medicaid waiver regulations and provider manuals
• Proficiency in Microsoft Office Suite and electronic health record systems
• Ability to handle sensitive information with confidentiality and integrity
• Must pass a background check and provide 2 professional references