Quality Assurance Compliance Analyst

A company is looking for a Quality Assurance & Compliance Analyst.

Key Responsibilities

Conduct regular audits of case files, billing, and service delivery for compliance with Medicaid waiver and DMAS regulations

Develop monitoring tools and track regulatory changes, communicating implications to leadership and teams

Prepare compliance reports and provide guidance and training on Medicaid waiver regulations and documentation standards

Required Qualifications

3+ years of experience in compliance, auditing, or quality assurance in relevant fields

In-depth knowledge of DMAS Medicaid waiver regulations and provider manuals

Proficiency in Microsoft Office Suite and electronic health record systems

Ability to handle sensitive information with confidentiality and integrity

Must pass a background check and provide 2 professional references