Quality Assurance & Compliance Manager - Elder Care

Humsenior; Eureka (CA); On-site; USD 45,000 - 51,000; Full time

Job summary

Humboldt Senior Resource Center in Eureka, CA, is seeking a full-time Quality Assurance Manager to lead the Quality Improvement Plan and act as HIPAA/privacy officer for Medicare. The role involves coordinating audits, policy development, and on-site reviews of contracted providers.

The position supports CMS/DHCS requirements, CQI projects, and data-driven quality enhancements across services for elderly participants.

Qualifications

• Two years of experience in quality assessment and performance improvement.
• Experience aggregating and analyzing data and survey results.
• Experience working with frail or elderly population preferred.

Responsibilities

• Develops, implements, and evaluates the Quality Improvement Plan (QIP).
• Acts as compliance/HIPAA officer for Medicare Part D Fraud, Waste, and Abuse.
• Coordinates with the Interdisciplinary Team (IDT) and centers for audits and corrective action.
• Prepares for CMS and DHCS audits and creates corrective action plans.
• Develops policies and procedures and ensures provider compliance.
• Conducts on-site reviews of contract organizations and credentialing of health professionals.
• Oversees annual QIP updates and related reporting to MAC, QIC, and PAC.
• Coordinates satisfaction surveys and reports findings to leadership.

Skills

Quality assurance

Performance improvement

Data collection

Communication

Education

Bachelor's degree

Job description

Humboldt Senior Resource Center in Eureka, CA, is seeking a full-time Quality Assurance Manager to lead the Quality Improvement Plan and act as HIPAA/privacy officer for Medicare. The role involves coordinating audits, policy development, and on-site reviews of contracted providers.

The position supports CMS/DHCS requirements, CQI projects, and data-driven quality enhancements across services for elderly participants.