Quality Assurance & Compliance Auditor

JEVS Human Services; Wilmington (NC); On-site; USD 48,000 - 58,000; Full time

Benefits offered by this job

401(k)

Tuition Assistance

Health & Dental

Paid Vacation/Sick Time

10-12 Holidays per year

Mileage reimbursement

Job summary

JEVS Human Services is seeking a Quality Assurance Specialist to ensure compliance, accuracy, and quality across Financial Management Services programs. The role involves audits of records, data systems, and reports to identify deficiencies and drive corrective actions.

Responsibilities include monitoring program activities for adherence to policies, performing data system audits, and producing documented findings for external stakeholders.

Qualifications

• Bachelor’s Degree in a behavioral science, human services or business administration, healthcare administration, public administration, nursing, or a related field preferred.
• Minimum of two (2) years of experience in quality assurance, compliance, auditing, healthcare administration, human services, case management, program monitoring, or a related field.
• Experience with HIPAA compliance, fraud prevention, quality improvement initiatives, or regulatory audits.
• Proficiency with Microsoft Word, Excel, SharePoint, PowerPoint, OneDrive, Outlook, and Teams.

Responsibilities

• Maintains current knowledge of federal, state, payer, and organizational requirements governing Financial Management Services programs.
• Conducts routine and targeted audits of participant, attendant, payroll, enrollment, compliance, and administrative records to ensure accuracy, timeliness, and regulatory compliance.
• Identifies deficiencies and works collaboratively with program staff to implement corrective actions.
• Monitors program activities to ensure adherence to agency policies, contractual obligations, program standards, HIPAA requirements, and regulatory guidelines.
• Reviews outgoing reports, corrective action plans, grievance responses, critical incident reports, fraud investigations, and other communications before submission to external stakeholders.
• Ensures documentation is accurate, complete, professionally written, and compliant with program requirements.
• Performs audits of electronic systems and databases, including CellTrak, Netsmart, Sendata, payroll systems, document management systems, and other technology platforms.
• Reviews data accuracy, timeliness of documentation, and compliance with established procedures.
• Identifies system-related issues and collaborates with operational and information technology staff to resolve discrepancies.
• Maintains detailed records of audits, investigations, corrective actions, quality reviews, and compliance monitoring activities.
• Produces clear, accurate, and timely documentation in accordance with departmental standards and regulatory requirements.
• Performs additional quality assurance, compliance, and operational support activities as assigned by the FMS Quality Assurance Manager.

Skills

Analytical thinking

Critical thinking

Communication skills

Interpersonal skills

Attention to detail

Education

Bachelor's degree in related field

Tools

Microsoft Word

Excel

SharePoint

PowerPoint

OneDrive

Outlook

Teams

Electronic Medical Records

Payroll systems

Document management systems

Job description

JEVS Human Services is seeking a Quality Assurance Specialist to ensure compliance, accuracy, and quality across Financial Management Services programs. The role involves audits of records, data systems, and reports to identify deficiencies and drive corrective actions.

Responsibilities include monitoring program activities for adherence to policies, performing data system audits, and producing documented findings for external stakeholders.