Quality Assurance Specialist at Pacific Health Group: ensuring quality, compliance, and performance excellence in ECM, CS, BH, and CHW operations.
Requirements
- Bachelor's degree in Healthcare Administration, Public Health, Social Work, or related field.
- 2+ years of experience in quality assurance, care coordination, compliance, or healthcare program auditing.
- Familiarity with ECM, CS, BH, CHW, CalAIM, Medi-Cal, HIPAA, and care coordination workflows.
- Strong analytical and problem-solving skills.
- Excellent documentation, communication, and interpersonal skills.
- Proficiency in CRM/EMR systems and Excel.
- Driver's License and Reliable transportation required for 40% outreach
Benefits
- 80 hours of Paid Time Off (PTO) and Paid Sick Time
- 11 paid holidays per year (including birthday)
- 4 paid volunteer hours per month
- Bereavement leave (including fur babies)
- 90% employer-paid employee-only medical benefits
- Flexible Spending Account (FSA)
- Short-term & long-term disability, AD&D, and Employee Assistance Program (EAP)
- 401(k) with company match
- Professional development and growth opportunities
- Employee discount programs
- Quarterly in-person events