Remote QA & CQI Analyst - Healthcare Compliance

COLUMBUS MEDICAL SERVICES LLC; Wilmington (VT); Remote; USD 60,000 - 90,000; Full time

Job summary

The Columbus Organization is seeking a Quality Assurance Administrator to support QA oversight for Case Management services. This remote Vermont-based role focuses on compliance with Medicaid requirements, state regulations, and accreditation standards, while driving continuous quality improvement.

Key duties include conducting reviews, analyzing data, coaching staff, preparing reports, and ensuring audit readiness.

Qualifications

• Bachelor’s degree or four or more years of related experience.
• Experience in quality assurance, auditing, or quality improvement in healthcare settings is required.
• Knowledge of Medicaid, HCBS, and state policies is essential.

Responsibilities

• Administer QA/CQI program for care coordination services.
• Conduct quality reviews of plans, records, and documentation for compliance.
• Coach field staff and provide guidance on documentation quality and corrective actions.
• Submit finalized plans to state agencies when applicable.
• Monitor contract deliverables, timelines, and regulatory requirements.
• Prepare QA reports, dashboards, and regulatory submissions.
• Identify trends and recommend improvements based on data analyses.

Skills

Medicaid/HCBS policies

Analytical skills

Quality improvement planning

Documentation accuracy

Communication skills

Independent work

Team collaboration

Project coordination

Education

Bachelor’s degree in Human Services/related field

Tools

Microsoft Office 365

Electronic record systems

Job description

The Columbus Organization is seeking a Quality Assurance Administrator to support QA oversight for Case Management services. This remote Vermont-based role focuses on compliance with Medicaid requirements, state regulations, and accreditation standards, while driving continuous quality improvement.

Key duties include conducting reviews, analyzing data, coaching staff, preparing reports, and ensuring audit readiness.