Remote QA & CQI Administrator – Care Coordination

COLUMBUS MEDICAL SERVICES LLC; Wilmington (VT); Remote; USD 65,000 - 90,000; Full time

Job summary

The Columbus Organization, remotely in Vermont, is seeking a Quality Assurance Administrator to oversee QA for Case Management services. You will monitor Medicaid compliance, audits, and performance data, collaborating with leadership, supervisors, and frontline teams to strengthen service delivery and achieve audit readiness.

Responsibilities include QA reviews, corrective action planning, and reporting. The role emphasizes QA and CQI initiatives without direct frontline management, aligning

Qualifications

• Bachelor’s degree in Human Services, Behavioral Sciences, Social Sciences, or a related field.
• Minimum of three years of experience in quality assurance, auditing, or quality improvement within healthcare, Medicaid, HCBS, or developmental disabilities services.
• Experience in case management or developmental disabilities services strongly preferred.
• Knowledge of Medicaid, HCBS, and state policies and regulations.
• Experience developing and monitoring corrective action and quality improvement plans.
• Proficiency in Microsoft Office 365 and electronic record systems.

Responsibilities

• Conduct quality reviews of care plans, case records, and related documentation to ensure completeness, clinical appropriateness, accuracy, and regulatory compliance.
• Coach Field Care Coordinators and provide guidance to supervisors on documentation quality and corrective actions.
• Monitor compliance with contractual deliverables, service timelines, documentation standards, policies, and regulatory requirements.
• Monitor timeliness, completeness, and quality of required plan submissions and provide second-line QA oversight.
• Communicate quality findings and recommendations to leadership to support corrective action and improvement.

Skills

Quality assurance

Auditing

Quality improvement

Healthcare knowledge

Education

Bachelor’s degree in Human Services, Behavioral Sciences, Social Sciences, or related field

Tools

Microsoft Office 365

Electronic record systems

Job description

The Columbus Organization, remotely in Vermont, is seeking a Quality Assurance Administrator to oversee QA for Case Management services. You will monitor Medicaid compliance, audits, and performance data, collaborating with leadership, supervisors, and frontline teams to strengthen service delivery and achieve audit readiness.

Responsibilities include QA reviews, corrective action planning, and reporting. The role emphasizes QA and CQI initiatives without direct frontline management, aligning