Quality Assurance Manager (Home Care)

TieTalent; Town of Texas (WI); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading company in healthcare seeks a Regional Quality Assurance Manager to oversee compliance with Medicaid and ensure quality outcomes. This Texas-based role requires a Bachelor's degree and 3-5 years of experience in healthcare, offering competitive benefits and a focus on employee wellbeing.

Benefits

Medical, Dental, and Vision Benefits

Continued Education

PTO Plan

Retirement Planning

Life Insurance

Employee Discounts

Company Matched 401K

Qualifications

• 3-5 years of experience in healthcare or social services required.
• Audit experience preferred.
• Ability to travel up to 50%.

Responsibilities

• Develop, review, implement policies and procedures compliant with Medicaid regulations.
• Perform audits and monitoring to ensure compliance.
• Support external audits and monitor corrective actions.

Skills

Communication

Organizational

Interpersonal

Education

Bachelor's Degree in Business, Social Services, Public Administration, Nursing, or related field

Tools

Microsoft Office Suite

Job description

POSITION SUMMARY: Reporting to the Vice President of Quality Assurance, the Regional Quality Assurance Manager is responsible for ensuring in-home care service provision complies with Medicaid, Medicaid waiver, MCO, and other licensure and contractual requirements throughout Texas.

This is a Texas-based remote position with 50% travel.

We offer our team:

• Medical, Dental, and Vision Benefits
• Continued Education
• PTO Plan
• Retirement Planning
• Life Insurance
• Employee Discounts
• Company Matched 401K

ESSENTIAL DUTIES:

• Develop, review, revise, and implement standardized policies, procedures, and work processes compliant with Medicaid and other regulations.
• Educate branch leadership and staff on regulatory and contractual requirements.
• Perform audits and monitoring to assess compliance.
• Support external agency audits, including preparation and corrective actions.
• Monitor corrective actions and ensure accountability.
• Drive operational compliance and quality outcomes.
• Report audit findings to all levels of leadership.
• Investigate and resolve critical incidents and complaints.
• Review records for recoupment requests.
• Perform other duties as assigned.

PERFORMANCE RESPONSIBILITIES:

• Maintain positive relationships with internal and external customers.
• Ensure effective communication and organization of work.
• Meet productivity requirements and promote teamwork.
• Participate in Continuous Quality Improvement.
• Represent the organization professionally.

POSITION REQUIREMENTS & COMPETENCIES:

• Bachelor's Degree in Business, Social Services, Public Administration, Nursing, or related field.
• 3-5 years of experience in healthcare or social services.
• Audit experience preferred.
• Experience in a fast-paced, multi-site organization is a plus.
• Strong communication, organizational, and interpersonal skills.
• Proficiency in Microsoft Office Suite.
• Ability to travel up to 50%.
• Must be self-confident, thorough, and prompt.
• Passionate, energetic, and results-driven.
• Valid Driver's License required.

To apply via text, text 8132 to [phone].

Employee wellbeing is our top priority. We are recognized as a top healthcare employer in the 2024 Top 100 Work Wellbeing Index. View rankings here.