Quality Assurance Specialist

Staffing Solutions Organization; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A staffing and consulting company is seeking a Quality Assurance Specialist to conduct monitoring and reporting to support quality management. This is a 100% remote role for Maine residents, requiring proficiency in data analysis and strong communication skills. The ideal candidate will demonstrate critical thinking and excel in customer service while conducting daily tasks that involve collaboration with various stakeholders.

Qualifications

• Knowledge of Medicaid and MaineCare policies.
• High level of critical thinking and communication skills.
• Ability to work independently with minimal supervision.

Responsibilities

• Conduct monitoring and surveillance activities.
• Collect and assess data from multiple systems.
• Provide excellent customer service.

Skills

Critical thinking

Customer service skills

Data analysis

Problem solving

MS Excel proficiency

Microsoft Office Suite

Tools

Excel

MS Teams

SharePoint

Job description

Overview

Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), focuses on delivering world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, reflecting our clients and the people they serve.

Title: Quality Assurance Specialist
Location: Augusta, ME
100% Remote (Maine Resident Preferred)

General Job Information

The Quality Assurance (QA) Specialist conducts a range of monitoring, reporting, research, and surveillance activities to support the work of quality management activities. This position reviews records, triages incidents, creates reports, retrieves and processes data and completes related statistical reporting, monitors in-process work and coordinates with a variety of program and district staff. The individual works independently and as part of a team to perform the daily work of the team, conducts research and processes data from multiple electronic systems and programs into reports, assists in the development of policies and procedures, and supports other users in proper implementation.

Knowledge, Skills and Certifications

• Possess or quickly develop knowledge of applicable Medicaid, MaineCare, and Home and Community Based Services (HCBS) Waiver policies and regulation, both state and federal.
• Understand Person-Centered Thinking and Planning.
• Demonstrate a high level of critical thinking and customer service skills as well as excellent written and oral communication skills.
• Demonstrate initiative to pursue tasks and assignments independently with the ability to research and assimilate information from multiple resources with minimal training and oversight.
• Demonstrated experience with retrieving data from multiple systems and synthesizing it into reports
• Work cooperatively with varied constituents, providers, and stakeholder groups as well as varied levels of management which may include OADS QA waiver specialists, OADS Resource Coordinators, staff from Division of Licensing and Certification and the Office of MaineCare Services.
• Demonstrate excellent problem solving skills and initiative
• Comfort with processing data in Excel, including the ability to apply formulas, formatting, and pivot tables
• Functional experience with Microsoft Office Suite, including Teams, SharePoint, Word, Excel, PowerPoint, and Outlook

Duties and Deliverables

Tasks include:

• Conduct a range of monitoring and surveillance activities including review and triage of critical incidents and complaints
• Collect, review, and assess data from multiple data systems, HCBS providers, and other sources as needed, to determine compliance and or create reports regarding the work of the OADS quality structures and system performance.
• Development of reporting structures for tracking activities and compliance.
• Use MS Excel, SharePoint, and other electronic tools to accurately record data, detect anomalies, and perform corrections.
• Extract and process data from multiple system and create reports.
• Participate in initiatives assigned to support the Department’s and Office’s goals and objectives as directed.
• Provide excellent customer service in conducting all work.
• Coordinate review activities across multiple program areas.
• Participate in meetings as assigned.

Schedule

This is a full time 40-hours per week telework position.

Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, SSO provides a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role.

Applicants must be authorized to work in the U.S. This position is not eligible for work authorization sponsorship including H-1B sponsorship) by SSO. Under the federal laws relating to the F-1 STEM EAD program, SSO may be able to support a STEM EAD extension application at the sole discretion of your Designated School Official. This does not guarantee that any STEM EAD extension application will be approved.

All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability. Staffing Solutions Organization LLC is an E-Verify participant.

Job Details

Pay Type Hourly

Education Level Equivalent Experience

Telecommute Percentage 100

Hiring Max Rate 30 USD