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Quality Assurance Associate

2 months ago

Fountain Valley, California, United States Titanium Healthcare Full time
Job Description

Job Summary:

The Community Supports Quality Assurance Associate will play a pivotal role in ensuring the effectiveness and quality of the Community Supports (CS) program at Titanium Healthcare. This program provides housing and social services support to Medi-Cal members, addressing both immediate and underlying health-related social problems.

Key Responsibilities:

  • Quality Monitoring and Evaluation:
    • Conduct regular reviews of member records to ensure adherence to program standards and protocols.
    • Perform audits to ensure accuracy, timeliness, and completeness of documentation and follow-up.
    • Evaluate effectiveness of CS services and make recommendations.
  • Compliance:
    • Ensure compliance with all legal and health plan regulations related to the CS program.
    • Maintain up-to-date knowledge of program requirements and best practices.
    • Attend Provider meetings to maintain knowledge on program updates and standards.
    • Assist in preparing for and responding to internal and external audits.
  • Data Analysis and Reporting:
    • Partner with CS managers and data team to collect, analyze, and report on program performance data.
    • Collaborate in identifying trends, areas for improvement, and best practices.
  • Training and Staff Support:
    • Provide training and support to CS staff on quality assurance processes and procedures.
    • Assist in developing training materials and resources.
    • Support the development and implementation of quality improvement initiatives.

Requirements:

  • Bachelor's degree in Social Work, Public Health, Human Services, or a related field preferred.
  • 2+ years of experience in quality assurance, compliance, or a related field within human services or healthcare.
  • Familiar with various EHR platforms; eClinicalWorks experience a plus.
  • Data Analysis experience/knowledge in Microsoft 365.

Benefits:

  • Hybrid role - mixed remote and in-person.
  • Medical, Dental, and Vision Insurance.
  • We cover up to 100% of your premium and 50% of your dependent premium depending on the plan.
  • Flexible Spending Accounts, Health Savings Accounts & Dependent Care Accounts are also available.
  • Life, AD&D Insurance funded 100% by Titanium Healthcare.
  • 401(k) plan.
  • Employee Assistance Program.
  • 12 Paid Holidays, 3 weeks of all-inclusive PTO per year (accrual begins on the first day of employment) as well as a separate Paid Sick Time balance.