Remote Quality Assurance & Compliance Manager

HR Alliance; Troy (MI); A distancia; USD 65.000 - 100.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Remote work

Descripción de la vacante

TRAC Autism Center Inc. is seeking a Quality Assurance and Compliance Manager to support remote operations.

The role focuses on credentialing, client intake, benefits verification, and service authorizations, working closely with Operations and Clinical leadership. You will ensure HIPAA and Medicaid compliance, maintain accurate records, and drive process improvements across credentialing, enrollment, and authorizations while keeping payer deadlines on track.

Formación

• Bachelor’s degree in healthcare administration or related field.
• At least three years in healthcare or behavioral health QA/compliance.
• Experience with provider credentialing and enrollment in CMH/CMHSP networks.
• Knowledge of HIPAA, Medicaid compliance, and privacy standards.
• Strong organizational and communication skills.

Responsabilidades

• Manage provider credentialing, renewals, and enrollment across networks.
• Oversee client intake, benefits verification, and ABA authorization processes.
• Lead compliance and policy updates with leadership.
• Perform regular audits of records and implement corrective actions.
• Coordinate training and reporting with operations and clinical teams.

Conocimientos

Organized

Detail-oriented

Collaboration

Communication

Project management

Educación

Bachelor’s degree in healthcare administration or related field

Herramientas

EHR systems

Practice management software

Microsoft Office

Descripción del empleo

TRAC Autism Center Inc. is seeking a Quality Assurance and Compliance Manager to support remote operations.

The role focuses on credentialing, client intake, benefits verification, and service authorizations, working closely with Operations and Clinical leadership. You will ensure HIPAA and Medicaid compliance, maintain accurate records, and drive process improvements across credentialing, enrollment, and authorizations while keeping payer deadlines on track.