Quality Assurance Program Specialist Senior

State of Wisconsin; Milwaukee (WI); Hybrid; USD 75,000 - 82,000; Full time

Benefits offered by this job

Vacation and holidays

Health plan options

Pension plan with employer match

Flexible spending accounts

Well Wisconsin Wellness

Employee assistance program

Job summary

State of Wisconsin, Department of Health Services, Division of Quality Assurance, Bureau of Nurse Home Resident Care, seeks a Quality Assurance Senior to ensure high standards of care for residents. The role involves overseeing Facility Reported Incidents, triaging notifications, and coordinating QA activities across offices.

The position requires independent judgment, strong communication, and knowledge of federal/state long-term care requirements. A robust benefits package accompanies the role.

Qualifications

• Experience with federal and state long-term care provider regulations and rules.
• Excellent written and verbal communication to explain policies and resolve issues.
• Experience applying quality assurance and quality improvement methods.

Responsibilities

• Act as principal QA specialist for Facility Reported Incidents (FRIs).
• Review and triage FRIs from Office of Caregiver Quality and intake hotline.
• Process FRIs in iQIES and alert regional staff as needed.
• Communicate effectively, orally and in writing.
• Review all survey reports and compile insights.

Skills

Regulatory knowledge

Communication skills

Quality assurance

Tools

iQIES

Job description

Introduction

The Department of Health Services (DHS), Division of Quality Assurance (DQA), Bureau of Nurse Home Resident Care (BNHRC) is looking to hire a Quality Assurance Specialist Senior to help ensure Wisconsin residents receive top quality care.

This Position

• Can work remotely up to 5 days per week but may be required to report to an office location on occasion to complete certain tasks. This schedule may vary based on training or operational need.
• Will typically work Monday-Friday
• Can be headquartered at one of our central or regional offices, excluding Rhinelander and Waukesha.

As an employee of the State of Wisconsin, you'll have access to an amazing benefits package, including:

• 3.5 weeks of vacation, 9 paid holidays and ample sick time; limitations may apply for leave time usage in the first six months.
• Top rated health plan options starting at $47/month for single plans and $117/month for family plans, after 2 months of state service.
• Exceptional pension plan with a 7.2% employer match in 2026 with lifetime retirement payment. Plus, a tax advantaged supplemental retirement savings plan which allows you to save money directly from your paycheck for retirement. Use this Total Rewards Calculator to see the total value of our competitive benefits package!
• Several flex spending accounts: medical, dependent care, commuter, parking and High-Deductible Health Savings.
• Well Wisconsin Wellness Program.
• A free and confidential employee assistance program that offers employees and their immediate family dependents a variety of tools, resources, and professional consultation services to support their health, goals, and overall well-being.
• Public Service Loan Forgiveness Program employer.

Position Summary

As a Quality Assurance Programs Specialist Senior, you will be responsible for the following duties:

• Acting as the principal quality assurance specialist for the Facility Reported Incidents (FRIs), processing and assisting with the complaint process.
• Reviewing and triaging FRIs received from Office of Caregiver Quality and the intake hotline.
• Reviewing and processing all FRIs in iQIES and alert regional office staff when opened.
• Utilizing a high degree of independent judgement and communicating effectively, both orally and in writing.
• Reviewing all survey reports.
• Planning, developing, and coordinating training for multiple relevant party groups.
• Interpretating federal and state regulations pertaining to long term care health providers.
• Facilitating administrative operations of the office.

This position is critical to ensure compliance with the federal performance standards to help meet requirements.

Salary Information

The starting pay is between $36.00 and $39.50 per hour (approximately between $74,800 and $82,100 per year), depending on qualifications, plus excellent benefits. A 12-month probationary period is required.

Pay for current or former state employees will be set based on the rules that apply to compensation for the applicable transaction. This position is in pay schedule and range 07/03.

Job Details

All applicants who may be appointed to this position will be required to allow DHS to conduct a background check to determine whether the circumstances of any conviction may be related to the job being filled.

DHS does not sponsor work visas for this position, thus, in compliance with federal law, selected candidates will be required to verify eligibility to work in the United States by completing the required I-9 form upon hire. DHS is not an E-Verify employer nor a STEM-OPT eligible employer.

For positions that allow remote working flexibility, working outside of Wisconsin or in bordering cities will not be allowed except in extremely limited circumstances due to the need to report to an office location in Wisconsin on short notice.

Employees must have access to both a private workspace and secure high-speed internet for remote work option. Mileage reimbursement to the employee’s headquarter location is not provided. Remote work flexibility will be discussed in more detail during the interview process.

Qualifications

Minimally qualified applicants will have all of the following:

• Experience working with federal and state long term care provider program regulations, statutes, or administrative rules.
• Experience communicating, both orally and in writing, to explain policies and procedures, articulate and resolve issues and complaints, and develop materials/correspondence.
• Experience working with quality assurance and quality improvement techniques and methods.

Well-qualified applicants will also have one or more of the following:

• Experience developing and presenting educational presentations to diverse audiences.
• Experience interpreting and applying federal and state requirements for providers.
• Experience analyzing existing data to develop ad hoc reports to meet the needs of relevant parties.

Your letter of qualifications and resume are limited to 2 pages each. For a guide on developing your resume and letter of qualifications and what should be included in these materials, click here.

DHS is an Equal Opportunity and Affimative Action employer. Veterans are encouraged to apply. For complete information on Veterans' hiring programs with the WI Department of Veteran's Affairs, click here.

Deadline to Apply

The deadline to apply is August 19th from posting by 11:59 pm.

Applicants are strongly encouraged to allow ample time to finalize their applications keeping in mind that technical assistance is only available Monday through Friday 7:45 am - 4:30 pm. Late or incomplete applications will not be accepted.