Quality Audit Specialist
$50k/y
a month ago
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OnsiteFull-timeEntry
Summary
ResCare Community Living is seeking a Quality Audit Specialist to join their Quality, Risk and Compliance teams in Dunbar, WV. The role focuses on auditing Medicaid qualified providers to ensure compliance with federal, state, and company standards, particularly for the state of West Virginia.
About the Role
The Quality Audit Specialist will conduct audits of qualified Medicaid providers using required tools, report findings to Executive and Regional Directors, provide timely and accurate reports to Operations, immediately report significant deficiencies or quality concerns, communicate potential risks to leadership, attend provider monthly calls to stay updated on policy revisions, and perform other duties as assigned by the Regional Director. Audits will be conducted across various operational settings including residential homes, day programs, and client homes, with some remote work for report preparation.
About You
Required:
- One to three years of prior work experience in Community Living, HomeCare, Home Health, Hospice, or Rehab Without Walls.
- Ability to work independently.
- Excellent written and oral communication skills.
- Proven ability to manage multiple priorities.
- Working knowledge of regulatory requirements for assigned Line of Business.
- Excellent computer skills including Microsoft Word, Excel, and PowerPoint.
- Willingness to work flexible hours.
- Ability to travel up to 100% across multiple states.
Preferred:
- Prior experience in conducting audits or quality reviews.
- Experience with West Virginia IDD Waiver services.
Benefits
- Opportunity to work with a company focused on client safety and quality service.
- Remote work flexibility for report development and preparation.
- Engagement with a team dedicated to compliance and risk mitigation in healthcare services.
ResCare Community Living has four decades of experience in the disability services field, providing support to individuals who need assistance with daily living due to an intellectual, developmental or cognitive disability. Our community living services are provided in 27 states with several thousand programs and a comprehensive range of high-quality services, including: Community Living, Adult Host Homes for adults regardless of disability, Behavioral/Mental Health Support, In-home Pharmacy Solutions, Telecare and Remote Support, Supported Employment and Training Programs, and Day programs.
Dunbar, WV