Quality Assurance Manager - Home Care

Position Summary: Reporting to the Senior Director of Quality Assurance, the Regional Quality Assurance Manager is responsible for facilitating and assuring in home care service provision is compliant with applicable Medicaid, Medicaid waiver, MCO, and other licensure and contractual requirements throughout assigned states. The QA Manager will support our Northeast Region: NY, PA, DE, OH, MI Essential Duties:Develop, review, revise and implement standardized state specific policies, procedures and work processes that comply with Medicaid and other regulatory/contractual payer agreementsEducate branch leadership and staff on state regulatory and contract requirements.Perform on-site and desktop audits and monitoring to assess branch level compliance with applicable rules and regulations.Oversee and support external agency audit processes including audit preparation, deficiency remediation and corrective action planning. Monitor corrective action execution and drive accountability.Drive operational compliance and quality outcomes.Report internal and external audit findings at all levels including branch, regional and senior leadership.Facilitate investigation, reporting and resolution of critical incidents and vestigate requests for recoupments by reviewing records and documentation. Performs other duties as assigned Position Requirements & Competencies: Bachelor''s Degree in Business, Social Services, Public Administration, or a related field of study3 - 5 years of experience in health care, social services or a related industryAudit experience is preferredSome experience in a large, fast-paced, results-driven, multi-site organization Must possess strong communication, written, interpersonal and organizational skills Proficiency in using Microsoft Word, Excel, PowerPoint and Outlook, required. Ability to travel up to 50%. Position may work remotely.Must be self-confident, thorough, and prompt in completing assignments and projectsPassionate, energetic, tenacious and resolute, with a high sense of urgency and a strong drive to produce resultsValid Driver''s LicenseAddus provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Created: 2021-11-29