Quality Assurance & CQI Specialist (Healthcare/Medicaid)

COLUMBUS MEDICAL SERVICES LLC; Vermont; Hybrid; USD 70,000 - 90,000; Full time

Job summary

The Columbus Organization in Vermont is seeking a Quality Assurance Administrator to oversee QA and Continuous Quality Improvement for care coordination services. You will monitor compliance with Medicaid rules, state regulations, and contractual obligations while guiding teams on documentation quality and corrective actions.

Work closely with program leadership, Quality, Compliance, Training, and frontline staff to strengthen service delivery, improve outcomes, and maintain audit readiness in a

Qualifications

• Bachelor’s degree or equivalent experience in a related field.
• Minimum of three years in quality assurance, auditing, or quality improvement in healthcare.
• Experience in case management or developmental disabilities services is preferred.
• Knowledge of Medicaid, HCBS, and state policies/regulations.

Responsibilities

• Administer and support the QA and CQI programs for care coordination services.
• Conduct quality reviews of plans and records for compliance and accuracy.
• Coach staff on documentation quality and corrective actions.
• Prepare quality assurance reports and dashboards for leadership.
• Support audits, records reviews, and regulatory submissions.

Skills

Medicaid knowledge

Data analysis

QA/QA plans

Microsoft Office 365

Communication skills

Attention to detail

Independent work

Stakeholder engagement

Organizational skills

Education

Bachelor’s degree in Human Services, Behavioral Sciences, or a related field

In lieu of a degree, four (4) or more years of experience may be considered

Tools

Microsoft Office 365

Electronic record systems

Job description

The Columbus Organization in Vermont is seeking a Quality Assurance Administrator to oversee QA and Continuous Quality Improvement for care coordination services. You will monitor compliance with Medicaid rules, state regulations, and contractual obligations while guiding teams on documentation quality and corrective actions.

Work closely with program leadership, Quality, Compliance, Training, and frontline staff to strengthen service delivery, improve outcomes, and maintain audit readiness in a