Quality Assurance & Compliance Specialist

JEVS Human Services; Wilmington (DE); 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 in Wilmington, Delaware seeks a Quality Assurance Specialist to ensure compliance, accuracy, and quality across FMS programs. The role conducts audits, monitors operations, analyzes trends, and identifies process improvements to support high-quality services.

Responsibilities include reviewing reports, validating data, and ensuring proper documentation. The candidate should have a 2+ year background in QA/compliance and strong proficiency with Microsoft Office and data

Qualifications

• Bachelor’s degree in behavioral science, human services, 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.

Responsibilities

• Maintains 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.
• Identifies deficiencies and works with staff to implement corrective actions.
• Monitors program activities for adherence to policies, contractual obligations, and regulatory guidelines.
• Reviews outgoing reports, corrective action plans, and other communications for accuracy and regulatory compliance.
• Performs audits of electronic systems and databases and collaborates with IT staff to resolve discrepancies.
• Maintains detailed records of audits, investigations, corrective actions, and reviews.
• Performs additional quality assurance and operational support activities as assigned.

Skills

Analytical thinking

Communication skills

Attention to detail

Regulatory knowledge

HIPAA familiarity

Education

Bachelor’s Degree in behavioral science/related field

Tools

Microsoft Word

Excel

SharePoint

PowerPoint

Outlook

Teams

Job description

JEVS Human Services in Wilmington, Delaware seeks a Quality Assurance Specialist to ensure compliance, accuracy, and quality across FMS programs. The role conducts audits, monitors operations, analyzes trends, and identifies process improvements to support high-quality services.

Responsibilities include reviewing reports, validating data, and ensuring proper documentation. The candidate should have a 2+ year background in QA/compliance and strong proficiency with Microsoft Office and data