Quality Analyst

YMCA of San Diego; San Diego (CA); Híbrido; USD 44.000 - 49.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Hybrid work model

Descripción de la vacante

YMCA of San Diego County is seeking a Quality Analyst to oversee the development, implementation, and maintenance of Subsidy Childcare policies and procedures, with emphasis on fraud prevention and program integrity across client, provider, and payment records.

The role includes monthly audits, appeals adjudication, and collaboration with licensing agencies to ensure regulatory timelines and accurate reporting. Hybrid work with in-person trainings in San Diego County is required.

Formación

• Bachelor’s degree or four years’ related experience in child development or human services.
• Minimum of three years in an Alternative Payment Program with knowledge of San Diego childcare community.

Responsabilidades

• Review and assess all parent appeals received for Subsidy Programs, analyzing agency actions and making determinations to uphold or overturn them.
• Conduct objective secondary reviews of staff actions to address parent and provider grievances, ensuring equitable outcomes and compliance.
• Develop and implement, and/or maintain a system to identify potential fraud cases in parent and provider files, analyzing and resolving cases referred for potential fraud and/or policy violations.
• Collaborate with Community Care Licensing (CCL) to report suspected licensing violations and stay informed of licensing changes; Review CCL facility evaluation reports for enrolled providers.
• Work closely with partner subsidy agencies, CDSS, and the County of San Diego to ensure alignment and consistency with fraud policies and share information on potential fraud cases.
• Monitor provider enrollment with other childcare agencies in San Diego County
• Collaborate with the case management intake team to educate parents on licensing ratios, empowering them in choosing quality childcare settings with appropriate enrollment levels
• Collect, synthesize, and distribute data related to audits, fraud, and appeals to the Finance Department, identifying trends and training needs
• Develop a comprehensive Quality Assurance Plan for Subsidy Childcare programs, conducting second-level audit reviews in accordance with program regulations
• Recommend changes to policies and procedures, and prepare responses to community partners and regulatory agencies; Conduct training on updated policies and procedures

Educación

Bachelor’s degree in child development, human services, or related field

Descripción del empleo

Overview

The Quality Analyst oversees the development, implementation, and maintenance of policies and procedures within Subsidy Childcare contracts, focusing on fraud prevention and program enhancement. This position will conduct monthly audits of client files to ensure quality assurance across family, provider, and payment records. The Quality Analyst provides program support, training, and monitoring program integrity, data, and compliance. This position also reviews and adjudicates parent appeals and grievances, ensuring adherence to regulatory timelines, as necessary.

Depending on the assigned area of focus, the Quality Analyst will be responsible for one of the following specialized functions:

• Reporting: Manage the maintenance, development, and analysis of departmental reports to ensure data accuracy, system functionality, and effective reporting


• Program Integrity: Review and assess all parent appeals received for Subsidy Programs and develop and identify, analyze, resolve potential fraud cases in parent and provider files

Learn more about YMCA Childcare Resource Services programs CLICK HERE

For more on Employee Perks, click on this link:Employee Benefits | YMCA of San Diego County (ymcasd.org)

SCHEDULE:

Monday through Friday, 8:00 a.m. to 4:30 p.m.

WORK DESIGNATION:

• Remote (must work within San Diego County Region)


• The position will primarily be remote, with in-person work required up to five (5) days per week at the Chula Vista, 30th Street, or Escondido office, during the full duration of department-wide new and on going trainings.
  
  
  
  • Please note that the work designation may change based on business needs.
  
  
  
  

Responsibilities

• Review and assess all parent appeals received for Subsidy Programs, analyzing agency actions and making determinations to uphold or overturn them


• Conduct objective secondary reviews of staff actions to address parent and provider grievances, ensuring equitable outcomes and compliance


• Develop and implement, and/or maintain a system to identify potential fraud cases in parent and provider files, analyzing and resolving cases referred for potential fraud and/or policy violations


• Collaborate with Community Care Licensing (CCL) to report suspected licensing violations and stay informed of licensing changes; Review CCL facility evaluation reports for enrolled providers


• Work closely with partner subsidy agencies, CDSS, and the County of San Diego to ensure alignment and consistency with fraud policies and share information on potential fraud cases


• Monitor provider enrollment with other childcare agencies in San Diego County


• Collaborate with the case management intake team to educate parents on licensing ratios, empowering them in choosing quality childcare settings with appropriate enrollment levels


• Collect, synthesize, and distribute data related to audits, fraud, and appeals to the Finance Department, identifying trends and training needs


• Develop a comprehensive Quality Assurance Plan for Subsidy Childcare programs, conducting second-level audit reviews in accordance with program regulations


• Recommend changes to policies and procedures, and prepare responses to community partners and regulatory agencies; Conduct training on updated policies and procedures

TRAVEL REQUIREMENTS:

• Must have access to reliable transportation to travel throughout San Diego County

Qualifications

• Bachelor’s degree in child development, human services, or related field or four (4) years’ equivalent related experience required AND,


• Minimum of three (3) years of experience in an Alternative Payment Program, and must have working knowledge of San Diego's childcare community

JOB COMPETENCIES:

• Demonstrated knowledge and expertise of Subsidy Childcare programs, encompassing comprehensive mastery of case management and payment responsibilities, and a profound understanding of the Education Code, Title 5 and 22 regulations, WIC, Funding Terms and Conditions, and Childcare Bulletins


• Ability to read and analyze contract conditions and apply this knowledge to determine compliance


• Proficiency in collecting, analyzing, and utilizing data for decision-making to inform quality


• Demonstrate initiative, resourcefulness, problem-solving, and active listening skills


• Strong multitasking abilities and excellent organizational skills are needed to handle multiple tasks effectively


• Auditory ability to engage in extensive telephone and direct communication with clients, providers, and staff


• Sensitivity and responsiveness to diversity are essential for working with a diverse range of individuals


• Proficiency in building rapport, resolving conflicts, and maintaining positive interactions with staff and community partners


• Comfortable with a hybrid work model, capable of efficiently managing both office and remote work responsibilities on specified days


• Flexibility to transition between different work environments as needed, including the potential for full-time office-based work at any time

PRE-HIRE CONTINGENCIES:

• Licensing, state law and our funders require that applicants of critical positions within Community Support Services be fingerprinted, prior to reporting to work, and include subsequent arrest notifications


• CPR/AED, and First Aid Certification, must include Adult and Child/Infant, obtained within 30 days of hire, and must be from one of the following certifying organizations: American Red Cross, American Heart Association, or American Safety and Health Institute


• Position may require additional clearances in order to comply with all program, licensing, state law, and funding requirements:
  
  
  
  • Exclusion and Debarment checks prior to first day and monthly thereafter
  
  
  
  

YMCA will consider qualified applicants with a criminal history pursuant to the San Diego County Fair Chance Ordinance and the California Fair Chance Act. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if the YMCA is concerned about conviction that is directly related to the job, you will be given the opportunity to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report. Find out more about the Fair Chance Ordinance by visiting the San Diego CountyOffice of Labor Standards and Enforcement.

Pay Range

USD $31.78 - USD $35.93 /Hr.