Quality Assurance Analyst - Subsidy Programs (Remote)

YMCA of San Diego County; San Diego (CA); Hybrid; USD 44,000 - 49,000; Full time

Benefits offered by this job

Hybrid work model within SD County

Training on updated policies

Job summary

The YMCA of San Diego County seeks a Quality Analyst to oversee Subsidy Childcare policies, audits, and compliance, focusing on fraud prevention and program enhancement. You will review parent appeals, monitor program integrity, and collaborate with licensing and partner agencies to ensure timeliness and accuracy of evaluations.

Responsibilities include developing QA plans, identifying fraud trends, and delivering training on updated procedures.

Qualifications

• Bachelor’s degree in child development, human services, or related field or four (4) years’ equivalent related experience required.
• Minimum of three (3) years of experience in an Alternative Payment Program, and must have working knowledge of San Diego's childcare community

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

Skills

Fraud prevention

Data analysis

Audit

Training

Contract management

Education

Bachelor’s degree in child development or related field

4 years related experience

Job description

The YMCA of San Diego County seeks a Quality Analyst to oversee Subsidy Childcare policies, audits, and compliance, focusing on fraud prevention and program enhancement. You will review parent appeals, monitor program integrity, and collaborate with licensing and partner agencies to ensure timeliness and accuracy of evaluations.

Responsibilities include developing QA plans, identifying fraud trends, and delivering training on updated procedures.