Quality Assurance Specialist

Pacific Health Group is seeking a Quality Assurance Specialist to ensure quality, compliance, workflow accuracy, and performance excellence across various operations. The role involves outreach, audit, and process improvement to strengthen operational integrity and ensure regulatory compliance.

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

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