Quality Assurance Specialist

Pacific Health Group is seeking a Quality Assurance Specialist to ensure quality, compliance, and performance excellence across Enhanced Care Management, Community Supports, Behavioral Health, and Community Health Worker operations. The role involves auditing member records, conducting outreach, and developing process improvements to enhance operational performance.

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

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 and quarterly in-person events