Quality Assurance Specialist

• Learn and maintain a comprehensive understanding of all functional areas to conduct cross-functional quality reviews
• Perform objective, concise, and documentation-ready quality assessments
• Maintain a monthly quality score of 96 percent or higher
• Maintain an 'Approved' challenge percentage under 5 percent monthly
• Meet productivity benchmarks for each assigned functional area
• Update and maintain the quality monitoring data management system
• Track assessment outcomes and ensure timely corrections are completed
• Identify process trends, gaps, and recurring issues and recommend actionable solutions
• Assist in implementing and maintaining quality assurance processes, controls, and performance measures
• Support front-line quality assurance awareness and training initiatives
• Perform administrative support tasks aligned with Quality Team objectives
• Contribute to continuous improvement strategies across departments
• Maintain strict confidentiality regarding quality assessments
• Provide cross-departmental support as needed
• Perform additional duties as assigned

• College degree preferred
• Experience in government services to consumers
• Experience in health and human services
• Public sector healthcare experience preferred
• Medicaid and or CHIP program knowledge highly desirable
• Equivalent combination of education and experience will be considered
• Strong written and verbal communication skills
• Ability to produce clear, concise documentation and presentations
• Strong analytical and problem-solving skills
• Excellent organizational and time management abilities
• Ability to manage multiple priorities in a fast-paced, evolving environment
• High level of confidentiality and professional discretion
• Working knowledge of operational processes and willingness to expand expertise
• Proficiency in MS Word, MS Excel, and MS Outlook
• Ability to work independently and collaboratively
• Bilingual skills preferred
• Typing speed of at least 30 WPM

Bilingual skills preferred

• Medical, dental, and vision coverage
• Life and disability insurance
• Additional voluntary benefits