Subsidy Program Quality Analyst - Remote

YMCA of San Diego; San Diego (CA); Hybride; USD 44 000 - 49 000; Plein temps

Avantages offerts par ce poste

Hybrid work model

Résumé du poste

YMCA of San Diego County is seeking a Quality Analyst to oversee the development, implementation, and maintenance of Subsidy Childcare policies and procedures, with emphasis on fraud prevention and program integrity across client, provider, and payment records.

The role includes monthly audits, appeals adjudication, and collaboration with licensing agencies to ensure regulatory timelines and accurate reporting. Hybrid work with in-person trainings in San Diego County is required.

Qualifications

• Bachelor’s degree or four years’ related experience in child development or human services.
• Minimum of three years in an Alternative Payment Program with knowledge of San Diego childcare community.

Responsabilités

• Review and assess all parent appeals received for Subsidy Programs, analyzing agency actions and making determinations to uphold or overturn them.
• Conduct objective secondary reviews of staff actions to address parent and provider grievances, ensuring equitable outcomes and compliance.
• Develop and implement, and/or maintain a system to identify potential fraud cases in parent and provider files, analyzing and resolving cases referred for potential fraud and/or policy violations.
• Collaborate with Community Care Licensing (CCL) to report suspected licensing violations and stay informed of licensing changes; Review CCL facility evaluation reports for enrolled providers.
• Work closely with partner subsidy agencies, CDSS, and the County of San Diego to ensure alignment and consistency with fraud policies and share information on potential fraud cases.
• Monitor provider enrollment with other childcare agencies in San Diego County
• Collaborate with the case management intake team to educate parents on licensing ratios, empowering them in choosing quality childcare settings with appropriate enrollment levels
• Collect, synthesize, and distribute data related to audits, fraud, and appeals to the Finance Department, identifying trends and training needs
• Develop a comprehensive Quality Assurance Plan for Subsidy Childcare programs, conducting second-level audit reviews in accordance with program regulations
• Recommend changes to policies and procedures, and prepare responses to community partners and regulatory agencies; Conduct training on updated policies and procedures

Formation

Bachelor’s degree in child development, human services, or related field

Description du poste

YMCA of San Diego County is seeking a Quality Analyst to oversee the development, implementation, and maintenance of Subsidy Childcare policies and procedures, with emphasis on fraud prevention and program integrity across client, provider, and payment records.

The role includes monthly audits, appeals adjudication, and collaboration with licensing agencies to ensure regulatory timelines and accurate reporting. Hybrid work with in-person trainings in San Diego County is required.