Health Home QA & Compliance Specialist

THE SW WASHINGTON COUNCIL OF GOVS ON AGIN; Longview (WA); Sur place; USD 52 000 - 72 000; Plein temps

Avantages offerts par ce poste

WA state PERS retirement

Medical, dental and vision insurance

Paid holidays and generous leave

Résumé du poste

AAADSW is seeking a Quality Assurance and Contract Monitoring Specialist to oversee the Health Home program across regional service areas. You will consult with leadership on improvements, act as a liaison for grievances, and ensure proper billing support in related systems.

Responsibilities include QA monitoring, contract compliance reviews, training the Care Coordination Organization network, and documenting public records requests.

Qualifications

• Bachelor's degree in social work, health or related field.
• Two years of experience in monitoring records or compliance activities.
• Valid driver’s license and reliable transportation.

Responsabilités

• Conduct quality assurance monitoring for the Health Home program across AAADSW’s regional service areas.
• Communicate monitoring trends to LTSS leadership via reports and analysis.
• Review subcontracted Care Coordination Organizations for contract compliance.
• Train and support the CCO network on HAP database usage and reporting.
• Serve as liaison for billing discrepancies with Lead entity and ensure supporting documentation.
• Prepare reports for HH Lead compliance and manage tier exception logging.

Connaissances

Quality assurance

Contract monitoring

Data analysis

Reporting

Communication

Team collaboration

Formation

Bachelor's degree in social work, health or social science, public administration or related field

Outils

HAP database

Contracts management software

MS Office (Word/Excel/Outlook)

Description du poste

AAADSW is seeking a Quality Assurance and Contract Monitoring Specialist to oversee the Health Home program across regional service areas. You will consult with leadership on improvements, act as a liaison for grievances, and ensure proper billing support in related systems.

Responsibilities include QA monitoring, contract compliance reviews, training the Care Coordination Organization network, and documenting public records requests.