Quality Assurance Specialist

Essential Responsibilities

• Provide technical assistance and training to program staff regarding documentation standards, quality assurance findings, privacy requirements, and compliance expectations.
• Collaborate with program leadership to develop corrective action plans and quality improvement strategies.
• Aid program leadership in preparing for external monitoring visits, audits, accreditation reviews, and funder compliance assessments.
• Conduct client chart reviews and internal audits.
• Aid in the development and implementation of Continuous Quality Improvement (CQI) initiatives across agency programs.
• Maintain awareness of trends identified through audits, chart reviews, and compliance activities and recommend corrective or preventive actions.
• Aid in the development, review, and maintenance of agency policies, procedures, forms, and compliance documentation.
• Maintain alignment of agency practices with established policies and contractual requirements.
• Maintain compliance with HIPAA and privacy standards.
• Support file retention and records management requirements.
• Develop quality assurance reports and audit summaries.
• Aid with corrective action planning and implementation.

Qualifications

• Master's degree in Public Health, Social Work, Healthcare Administration, Public Administration, Psychology, Sociology, or related field.
• Minimum two (2) years of quality assurance, compliance, or quality improvement experience required; three (3) years preferred in public health, nonprofit, behavioral health, healthcare, or community health center settings.
• Knowledge of HIPAA, privacy, confidentiality, records retention, documentation standards, and regulatory requirements applicable to nonprofit human service organizations.
• Demonstrated experience developing, writing, reviewing, updating, and implementing policies, procedures, protocols, forms, and operational guidelines.
• Experience interpreting contractual, regulatory, funding, and organizational requirements and translating them into practical operational procedures.
• Experience preparing for, participating in, and responding to internal and external audits, monitoring visits, compliance reviews, accreditation activities, or similar quality assurance processes.
• Experience analyzing and synthesizing information from multiple sources, including contracts, grant agreements, regulations, policies, and program requirements, to support organizational compliance and quality improvement efforts.
• Demonstrated exceptional attention to detail, accuracy, and organization, including the ability to identify documentation deficiencies, compliance concerns, procedural inconsistencies, and potential risks.
• Experience conducting client chart reviews, documentation reviews, and internal audits.
• Knowledge of file retention standards, records management practices, and documentation requirements.
• Experience and proficiency utilizing electronic records systems, databases, reporting platforms, and Microsoft Office applications, including Excel.