Quality Assurance Leader Health Programs & Compliance

Pacific Health Group; United States; Hybrid; USD 78,000 - 82,000; Full time

Job summary

Pacific Health Group, based in California, seeks a QA Manager to lead the organization-wide Quality Assurance program, ensuring services and workflows meet payer, regulatory, and internal standards. The role includes overseeing audits, developing metrics, and guiding department managers to improve quality.

The position offers a hybrid schedule and interacts with ECM, CS, CHW, Behavioral Health, Revenue Cycle, and other functions while mentoring QA staff and ensuring readiness for external

Qualifications

• Quality Assurance program management and continuous improvement across PHG.
• Coordinate external audits and prepare required documentation.
• Monitor, track, and remediate audit findings with department leads.

Responsibilities

• Quality Assurance Program Management: Develop, implement, manage, and continuously improve PHG's organization-wide Quality Assurance program.
• Health Plan, County & External Audit Readiness: Maintain readiness for health plan audits and external reviews; coordinate materials and responses.
• Documentation & Program Quality: Maintain documentation quality, workflows, and adherence to requirements.

Job description

Pacific Health Group, based in California, seeks a QA Manager to lead the organization-wide Quality Assurance program, ensuring services and workflows meet payer, regulatory, and internal standards. The role includes overseeing audits, developing metrics, and guiding department managers to improve quality.

The position offers a hybrid schedule and interacts with ECM, CS, CHW, Behavioral Health, Revenue Cycle, and other functions while mentoring QA staff and ensuring readiness for external