Quality Assurance Analyst - HRSN

CareOregon, Inc.; Portland (OR); Hybrid; USD 67,000 - 82,000; Full time

Benefits offered by this job

Bonus Target 5% Annual

Job summary

CareOregon, Inc. is seeking a Quality Assurance Analyst to support the Rent Assistance team and Health-Related Social Needs (HRSN) benefits in a hybrid Portland setting.

The role ensures accurate allocations and payments, with emphasis on regulatory compliance and process improvement. The position involves producing QA and performance reports, supporting audits, and collaborating across departments to address quality trends and training needs.

Responsibilities

• Conduct timely and accurate QA reviews of member benefit allocations before payment.
• Validate eligibility, benefit limits, calculation accuracy, and payment amounts.
• Identify trends and root causes; recommend corrective actions.
• Research processing issues to determine source and resolution.
• Develop and distribute QA and performance reports for leadership and OHA.
• Track corrective actions and outcomes over time.

Tools

Excel

Word

PowerPoint

Outlook

SharePoint

Workday

Unite Us

Job description

Quality Assurance Analyst - HRSN

Job Summary
This position is responsible for providing timely and accurate quality assurance, administrative, and analytical support for CareOregon’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

Essential Responsibilities

Quality Assurance

• Conduct timely and accurate quality assurance reviews of member benefit allocations prior to payment, ensuring alignment with state and federal regulations and CareOregon 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 workgroups 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.

Organizational Responsibilities

• 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