Quality Assurance Specialist

We are seeking a Quality Assurance Specialist to ensure quality, compliance, workflow accuracy, and performance excellence across Enhanced Care Management (ECM), Community Supports (CS), Behavioral Health (BH), and Community Health Worker (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
• 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