The Quality Assurance/Records Analyst

The Quality Assurance/Records Analyst is a hybrid position which is primarily responsible for development and implementation of internal quality measures to mitigate the risk of non-compliance with external laws and regulations, as well as ensuring excellence in service delivery, in accordance with Agency, CARF, Medicaid and state licensure regulations.

MINIMUM EDUCATION, TRAINING, REQUIREMENTS AND PREREQUISITES

• Minimum of High school diploma or equivalent; Administrative experience required.
• At least 2-3 years’ experience of documentation, auditing charts, quality assurance and compliance.
• Microsoft Office proficiency.
• Valid Virginia Driver's license with satisfactory driving record.
• Demonstrated skill in interpreting regulations and evaluating compliance in agency policies, procedures and service records.
• Strong understanding of state licensing, Medicaid and accreditation regulations and processes.
• Demonstrated understanding of agency Guiding Principles, Vision, Mission and Program Model.
• Excellent organizational and time management skills.
• Good oral, written, interpersonal and communication skills.
• Ability to work independently with minimal supervision and embrace a spirit of teamwork.
• Ability to absorb, analyze and organize information and ideas.
• Ability to work effectively with people from diverse backgrounds.
• Ability to travel regularly to site offices in Richmond and Newport News.
• Ability to utilize MS Office and learn a variety of software including Credible and Binti.

• Maintains a working knowledge of regulations and guidance of assigned areas such as Virginia Department of Social Services (VDSS), Medicaid (DMAS), and Commission on Accreditation of Rehabilitative Facilities (CARF).
• Demonstrates the ability to analyze and apply multiple sets of regulations and standards to service delivery.
• Collaborates with Quality and division leadership to develop a process for the review of records of persons served, ensuring compliance with the applicable regulations and laws as well as exemplifying adopted best practices.
• Update/Maintain spreadsheets for licensure, agency, and funding requirements (i.e.- tracking spreadsheets, client list, etc.).
• Assist with billing coordination and service utilization review for foster care according to our service agreements with external stakeholders.
• Provides hands on support to division staff for implementing the review process.
• Conducts review of records of persons served to ensure quality of records as well as the effectiveness of the review process and tools.
• Provide tracking for all reviews and analyze the findings to identify trends and practices that are exemplary or needing improvement.
• Collaborate with Quality and division leadership to address compliance concerns in relation to laws, regulations and standards as necessary.
• Generate recommendations for changes to procedures, forms and policies to improve regulatory compliance and assist in implementation as needed.
• Integrate the findings of external audits or licensure findings and policy changes to the internal quality review process.
• Maintain an agency tracking system for internal quality reviews to maintain consistency and readiness for external reviews/audits.
• Track compliance data and develops action plans for licensure preparation and corrective measures.
• Assist in the collection, compilation, and reporting of program outcome data
• Monitor, implement and ensure compliance with appropriate risk management protocols and HIPPA.
• Assist in analyzing work processes to improve outcomes and enhance staff productivity and agency goals.
• Work with staff and managers to create and respond to findings as a result of accreditation surveys, site monitoring and/or internal audits.
• Schedule: Primarily Monday-Friday 8:30am-5:00pm
• Complete other duties as assigned.

Why you'll love working at enCircle:

We offer a competitive salary starting at $22 per hour plus an exceptional benefits package including:

• Health, Dental and Vision Insurance
• Nationwide Pet Insurance, including coverage for reptiles, birds and exotic pets
• 401(k) and 401(k) Matching
• Employee Assistance Program, including Access to Chaplain Services
• Educational Assistance Program
• STD, LTD, Life, and AD&D Insurance
• Generous PTO and Paid Holidays
• Retention Bonus
• Unlimited Access to Premium Calm App for Staff plus Friends and Family
• Early access to paid wages with Wisely ADP and Dailypay