Quality Assurance Risk Management Coordinator

Commonwealth Of Pennsylvania; Harrisburg (Dauphin County); On-site; USD 69,000 - 105,000; Full time

Job summary

The Commonwealth of Pennsylvania invites applications for the Quality Assurance Risk Management Coordinator in Harrisburg. You will evaluate behavioral health programs and identify opportunities to improve service quality across the state.

Responsibilities include reviewing contractor operations, evaluating data against standards, monitoring compliance, and leading onsite audits while collaborating with partners on best practices and policy analysis. Telework may be possible part-time.

Qualifications

• One year as a Quality Assurance/Risk Management Specialist or equivalent federal government role.
• Three years of professional experience in a health care setting with a bachelor’s degree or
• Bachelor’s degree with related field and relevant experience in health care administration, social work, nursing, or behavioral sciences.

Responsibilities

• Program Reviews: Examine contractor and managed care operations for compliance with federal and state rules.
• Data Evaluation: Assess documents and reports to determine if standards, goals, and benchmarks are met.
• Compliance Monitoring: Review service decisions and related documentation for clarity and medical necessity.
• Onsite Audits: Lead audits and interviews to evaluate access, quality, and risk in behavioral health services.
• Collaboration Efforts: Work with internal and external partners on quality reviews and clinical best practices.
• Policy Analysis: Study legislative and regulatory changes and interpret their impact on behavioral health services.

Skills

Quality Assurance

Risk Management

Compliance Monitoring

Data Evaluation

Program Reviews

Onsite Audits

Collaboration

Policy Analysis

Education

Bachelor's degree

Job description

Salary

$69,086.00 - $104,959.00 Annually

Location

Dauphin County, PA

Job Type

Civil Service Permanent Full-Time

Job Number

CS-2026-58500-43392

Department

Department of Human Services

Division

HS Bur Qlty Mgmt Dta Rvw

Opening Date

09/16/2026

Closing Date

9/29/2026 11:59 PM Eastern

Job Code

43392

Position Number

00206732

Union

Non Union

Bargaining Unit

A3

Pay Group

ST08

Bureau / Division Code

00211550

Bureau / Division

Bureau of Quality Management and Data Review

Worksite Address

303 Walnut Street

Commonwealth Towers

City

Harrisburg, Pennsylvania

Zip Code

17101

Contact Name

Chavonte' Hunter

Contact Email

[e-mail]

THE POSITION

Step into a role where your careful thinking can spark real progress! As a Quality Assurance Risk Management Coordinator for the Department of Human Services, you will evaluate programs and help improve the quality of behavioral health services. You will work with partners who share a commitment to strong, reliable care. Your contributions will lead to better results for communities across the state.

DESCRIPTION OF WORK

This position supports the improvement of behavioral health services by reviewing information, evaluating program performance, and working with partners across the Commonwealth. As a Quality Assurance Risk Management Coordinator, you will perform the following duties:

• Program Reviews: Examine contractor and managed care operations for compliance with federal and state rules
• Data Evaluation: Assess documents and reports to determine if standards, goals, and benchmarks are met
• Compliance Monitoring: Review service decisions and related documentation for clarity and adherence to medical necessity requirements
• Onsite Audits: Lead audits and interviews to evaluate access, quality, and risk in behavioral health services
• Collaboration Efforts: Work with internal and external partners on quality reviews and clinical best practices
• Policy Analysis: Study legislative and regulatory changes and interpret their impact on behavioral health services

Interested in learning more? Additional details regarding this position can be found in the position description.

Work Schedule and Additional Information

• Full-time employment
• Work hours are 8:00 AM to 4:30 PM, Monday - Friday, with a 60-minute lunch.
• Telework: You may have the opportunity to work from home (telework) part-time, up to 3 days per week. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time. Additional details may be provided during the interview.
• Salary:In some cases, the starting salary may be non-negotiable.
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY

QUALIFICATIONS

Minimum Experience and Training Requirements

• One year as a Quality Assurance/Risk Management Specialist (Commonwealth job title or equivalent Federal Government job title, as determined by the Office of Administration); or
• Three years of professional experience as a member of a multiple disciplinary treatment team in a public or private health care facility and a bachelor's degree; or
• Three years of clinical experience in a human services agency, including two years of administrative, evaluative, consultative or supervisory work in a health care program; and a bachelor's degree with major course work in social work, nursing, health care administration, behavioral sciences or a related field; or
• Any equivalent combination of experience and training.

Other Requirements

• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency Guidelines.
• You must be able to perform essential job functions.

Telecommunications Relay Service (TRS)

• 711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.

EXAMINATION INFORMATION

• Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
• Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
• Your score is valid for this specific posting only.
• You must provide complete and accurate information or:
  • your score may be lower than deserved.
  • you may be disqualified.
• You may only apply/test once for this posting.
• Your results will be provided via email.