Talent.com
Quality Audit Specialist

Quality Audit Specialist

Center for Elders' IndependenceConcord, CA, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Job Description

Quality Audit Specialist

The Center for Elders’ Independence is a PACE (Program of All-Inclusive Care for the Elderly) organization that uses an interdisciplinary team approach to care planning and care implementation for the purpose of providing high quality, affordable, integrated health care services to the elderly, including an A dult D ay H ealth C enter , and promoting autonomy, quality of life and the ability of individuals to live in their communities.

The Position : Under the supervision of the Director of Quality Improvement, the Quality Audit Specia list is responsible for overseeing the audit readiness and compliance efforts for Centers for Elders’ Independence (CEI). Through medical rec ord auditing this position will ensure adherence to, state, and federal PACE regulations . The Quality Specialist will be the lead in identifying trends and working with key stakeholders to develop and carry out process improvement efforts to ensure regulatory compliance.

Duties & Responsibilities :

  • Medical Record Auditing : Conduct thorough audits of medical records as needed for the Quality Department to ensure adherence to state, and federal PACE regulations.
  • Documentation Management : Maintain accurate and up-to-date documentation related to audits, compliance efforts, and process improvement activities. Ensure all records are organized and easily accessible for review.
  • Audit Readiness : Participate in CEI’s Audit Readiness Committee. Prepare agenda and maintain minutes. Assist the committee by developing and implementing comprehensive aud it readiness strategies based on medical record and other records audits. Maintain knowledge of Federal and State PACE regulations and regulatory audit protocols.
  • Trend Analysis : Identify and analyze trends in audit findings and compliance data. Develop action plans to address any recurring issues and implement preventive measures.
  • Process Improvement : Collaborate with key stakeholders to develop and execute process improvement initiatives aimed at enhancing medical record compliance. Lead projects to streamline and optimize compliance processes.
  • Stakeholder Engagement : Communicate effectively with internal teams and external partners to ensure clear understanding and implementation of compliance requirements.
  • Collaborate with the IDT on audit findings and trends and provide ongoing education and training to ensure best practices for documentation are being followed.
  • Reporting : Prepare detailed reports on audit findings, compliance status, and process improvement efforts. Present findings and recommendations t o CEI’s Audit Readiness Committee and Quality Improvement Committee
  • Other Duties : Ensure licenses for all PACE facilities are up to date including but not limited to DHCS, CDPH, CERS, EPA, etc .

Q ualifications :

  • Bachelor ’ s Degree in related health care discipline or equivalent combination of education and experience preferred .
  • 1-2 years of process improvement, quality assurance, or related experience in healthcare required; familiarity with PACE or senior health care preferred.
  • Demonstrated experience with Microsoft Office Suite. Advanced proficiency with Word, Excel, and PowerPoint.
  • Strong written and oral communication skills. Excellent customer service skills with demonstrated record of fostering positive business relationships.
  • Experience working effectively across diverse staff, public and private agencies and government officials.
  • Ability to work independently with minimum supervision.
  • Ability to track, organize, and present information succinctly.
  • Ability to exercise initiative and demonstrate flexibility. Exceptional planning and organizational skills.
  • The above job description is intended to communicate the general function of the mentioned position and by no means shall be considered an exhaustive or complete outline of the specific tasks and functions that will be required.  CEI reserves the right to change job descriptions, site assignments, and or work hours as required by the needs of the program.  All employees are expected to perform their duties within their ability as required by the job and / or as requested by management.

    Page 1

    serp_jobs.job_alerts.create_a_job

    Quality Specialist • Concord, CA, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Quality Control Analyst

    Quality Control Analyst

    VirtualVocationsFremont, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Quality Control Servicing Analyst to conduct audits and ensure compliance in loan servicing operations. Key Responsibilities Conduct audits of loan servicing operations ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Quality Review and Audit Analyst

    Quality Review and Audit Analyst

    VirtualVocationsConcord, California, United States
    serp_jobs.job_card.full_time
    A company is looking for an Individual & Family Plans (IFP) Quality Review and Audit Analyst.Key Responsibilities Conduct medical records reviews and ensure accurate diagnosis code abstraction U...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Chemistry Quality Assurance Specialist

    Chemistry Quality Assurance Specialist

    VirtualVocationsHayward, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Freelance Chemistry Expert - Quality Assurance (AI Trainer).Key Responsibilities Create and refine content to ensure accuracy and relevance across various topics in Che...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Senior Quality Assurance Specialist

    Senior Quality Assurance Specialist

    VirtualVocationsOakland, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Quality Assurance Specialist to support enterprise IT program management and quality oversight for a major Department of Defense information systems modernization ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Tech Audit Senior

    Tech Audit Senior

    WithumSan Francisco, CA, United States
    serp_jobs.job_card.full_time
    Withum is a place where talent thrives - where who you are matters.It's a place of endless opportunities for growth.A place where entrepreneurial energy plus inclusive teamwork equals exponential r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Remote Chemistry Quality Auditor

    Remote Chemistry Quality Auditor

    VirtualVocationsHayward, California, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    A company is looking for a Freelance Chemistry Expert - Quality Assurance (AI Trainer).Key Responsibilities Create and refine content to ensure accuracy and relevance in Chemistry Assess qualifi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Service Process & Quality Specialist

    Service Process & Quality Specialist

    Bio-Rad LaboratoriesHercules, CA, United States
    serp_jobs.job_card.full_time
    Service Process & Quality Specialist.A typical day involves reviewing and updating Standard Operating Procedures (SOPs) to ensure compliance with 21CFR820 regulations, collaborating with product su...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Quality Compliance Specialist

    Quality Compliance Specialist

    VirtualVocationsSan Francisco, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Quality Compliance Specialist to oversee clinical trial delivery quality systems and ensure compliance with regulations. Key Responsibilities Lead the clinical trial del...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Outpatient Coding Quality Specialist

    Outpatient Coding Quality Specialist

    VirtualVocationsHayward, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Coding Quality Specialist- Outpatient.Key Responsibilities Perform complex retrospective analysis of medical record documentation to identify coding and billing errors ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    QA Specialist - 21 CFR Part 11

    QA Specialist - 21 CFR Part 11

    VirtualVocationsConcord, California, United States
    serp_jobs.job_card.full_time
    A company is looking for MES Testing Staff for Ignition Track & Trace in a remote setting.Key Responsibilities : Design, develop, and execute comprehensive test cases for Ignition Track & Trace wo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Senior Quality Improvement Specialist

    Senior Quality Improvement Specialist

    VirtualVocationsConcord, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Quality Initiatives Specialist Senior.Key Responsibilities Lead and support Quality Improvement initiatives to enhance healthcare service delivery and clinical outcomes...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Audit Analyst

    Audit Analyst

    San Francisco Health PlanSan Francisco, CA, United States
    serp_jobs.job_card.full_time
    Reporting to the Director, Compliance and Oversight, the Audit Analyst supports the San Francisco Health Plan (SFHP) Compliance Program through audit and monitoring activities.You will audit and mo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Remote Quality Assurance Specialist

    Remote Quality Assurance Specialist

    VirtualVocationsHayward, California, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    A company is looking for an Associate Professional Quality Assurance.Key Responsibilities Monitor and evaluate the quality of customer interactions to ensure compliance with standards Lead calib...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Credentialing Specialist

    Credentialing Specialist

    VirtualVocationsSan Francisco, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Credentialing Specialist to manage the credentialing process for reviewers.Key Responsibilities Conduct initial and recredentialing processes, including data entry, ver...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Systems Operations Specialist

    Systems Operations Specialist

    ACCO Engineered SystemsPleasanton, CA, United States
    serp_jobs.job_card.full_time
    This position is responsible for providing administrative support including TAB Reports, Start-Up Reports, and Warranty Documents for the Systems Operations team. Essential Duties and Responsibiliti...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Oversight Specialist

    Oversight Specialist

    San Francisco Health PlanSan Francisco, CA, United States
    serp_jobs.job_card.full_time
    Reporting to the Director, Compliance & Oversight, the Specialist supports the Compliance and Oversight Program and executes audit work plan deliverables of designated SFHP's delegated groups and i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Inspection Review Specialist, Senior

    Inspection Review Specialist, Senior

    Pacific Gas and Electric CompanyDublin, CA, United States
    serp_jobs.job_card.full_time
    Job Category : Compliance / Risk / Quality Assurance.Job Level : Individual Contributor.Business Unit : Electric Operations. Job Location : Dublin; Alameda; Alta; American Canyon; Angels Camp; Antioch; ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Claims Quality Auditor

    Claims Quality Auditor

    VirtualVocationsHayward, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Quality Auditor to perform comprehensive audits of claims and identify incorrect payments. Key Responsibilities Conduct quality audits of claims using various sou...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Techno-Functional Lead, Data Quality

    Techno-Functional Lead, Data Quality

    VirtualVocationsConcord, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Techno-Functional Lead - Data Quality & Master Data Management in the investment management sector. Key Responsibilities Lead data quality and master data management ini...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Site Quality Lead

    Site Quality Lead

    Zoetis, IncUnion City, CA, United States
    serp_jobs.job_card.full_time
    The Site Quality Lead is accountable for all Quality functions at the site, including Quality Assurance, Quality Control, Quality Operations, and Compliance. This role achieves site and corporate qu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30