Quality Assurance Specialist

ACHIEVE is hiring a Quality Assurance Specialist to help ensure clinical processes, documentation, and services meet quality standards and regulatory requirements. The role supports credentialing, audits, data analysis, staff training, and process improvement.

Responsibilities

• The Quality Assurance (QA) Specialist assists the Practice Manager and the Director of Clinic Services with ensuring that processes, clinical documentation and services meet established quality standards and regulatory requirements. This role includes supporting credentialing, conducting audits, collecting and analyzing data, and collaborating on process improvement efforts such as:
• Provides detail-focused reviews of clinical documentation to ensure quality, regulatory compliance and audit-readiness
• Conducts monthly utilization reviews to meet compliance requirements for quarterly reviews
• Provides analysis of audits completed and identify any patterns in the data and areas where improvement may be needed
• Assists new staff with completing and submitting licensing credentialing paperwork
• Provides training of the EHR for new staff members and support clinical and administrative staff with ongoing support, through the role of a Superuser

Preferred

• Knowledge of requirements for accrediting/regulatory agencies
• Accreditation
• regulatory requirements knowledge

Benefits

• Medical, dental, and vision coverage
• Retirement plan
• Company-paid life and disability coverage
• Optional voluntary plans
• 33 days of PTO annually for eligible full-time employees

Company

• Disability services provider for people with intellectual, developmental disabilities
• Vestal, New York, USA
• https://www.achieveny.org/
• Founded in 1952
• 201-500 employees

Qualifications

• At least two (2) years of progressively responsible experience working in a healthcare or human services organization
• Associate's Degree
• Must be highly organized, and detail oriented with the ability to meet deadlines
• Knowledge of requirements for accrediting/regulatory agencies

Required skills

• Accreditation and Regulatory Requirements, Healthcare and Human Services

Experience

• 2+ years