What are the responsibilities and job description for the Medi-Cal Compliance & Quality Assurance Specialist position at Hanna Boys Center?

Job Description

Job Title : Quality Assurance and Compliance Specialist

FLSA Classification : Exempt

Department : MHH

Reports to : MHH Director

Salary : $36.05 To $45.67 Hourly

Date Updated : 2.19.2025

Job Description

Summary / Objective

The Quality Assurance and Compliance Specialist is responsible for monitoring, evaluating, and enhancing the quality of services and ensuring compliance with federal, state, and local regulations for The Mental Health HUB. This role requires a strong background in Medi-cal policies and procedures. This role collaborates with clinical staff to develop, implement, and maintain quality assurance programs, clinical protocols, and regulatory practices. The Specialist will play a key role in fostering a culture of continuous improvement, safety, and adherence to best practices within The Mental Health Hub.

Essential functions

Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

Compliance

Review and maintain familiarity with all grants and contracts including Medi-cal.
Monitors and ensures all billing / invoicing is aligned with all grants and contracts including Medi-cal.
Monitor EHR system and paper charts for compliance and quality assurance.
Ensure clinic compliance with HIPAA, OSHA, and other relevant regulatory requirements.
Maintain an up-to-date knowledge of regulations impacting the Mental Health Hub and proactively address any changes.
Develop and deliver training sessions on regulatory compliance and quality standards for Mental Health Hub staff.
Monitor and track licensing and credentialing for clinic staff, ensuring adherence to licensing boards and professional standards.

Quality Assurance

Develop, implement, and review quality assurance functions to ensure services align with clinical standards and patient safety guidelines and reporting of quality-assurance studies according to the QA / UR plan.

Conduct routine audits of clinical documentation, treatment plans, and patient records to ensure compliance with internal policies and external regulations.

Lead quality improvement initiatives, setting benchmarks, and driving projects that enhance service delivery and client satisfaction.

Additional training will be given to ensure ability to :

Work with Sonoma County partners to utilize NinePatch Licenses to ensure ECM services.

Interface with Partnership contracts to show examples of a workflow with outside county referrals to extend ECM services.

In addition the QA contractor is also supporting with documenting processes, system improvement efforts, and supporting with training efforts, and of these activities will relate to specifically supporting ECM services.

Work with Sonoma County partners to utilize NinePatch License.

Have experience with CalAim, and other systems and programs relevant for providing effective ECM

Work Environment

Typical office and clinical environment. Responsibilities may include offsite meetings, training, or other activities as required by business needs.

Qualifications

Bachelor’s degree in healthcare administration, Psychology, or a related field (Master’s preferred).

3 years of experience in quality assurance, compliance, or a related role within a healthcare or behavioral health setting.

Knowledge of regulatory standards (e.g., HIPAA, OSHA) and quality management frameworks.

Strong analytical, problem-solving, and organizational skills.

Excellent interpersonal and communication abilities, with experience in delivering training or presentations.

Proficiency in data analysis and reporting tools.

Preferred Skills

Certification in quality management (e.g., CPHQ) or compliance (e.g., CHC).

Experience in a behavioral health or therapy clinic setting.

Familiarity with electronic health record (EHR) systems.

Physical Requirements

This position requires the ability to sit, bend, squat, stoop, and walk-up a flight of stairs and be able to safely lift 50 pounds and carry 20 pounds. Reach with hands and arms and use hands and fingers to handle objects and operate tools, computers, and / or controls.

Must have a valid Driver’s License and ability to be insured by Company policy.

Must clear background check for a Community Care Licensed facility, including physical, TB, and drug test.

Must be 21 years of age or older.

Affirmative Action / EEO Statement

Hanna Center is an equal opportunity employer. All applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

Other Duties

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Salary : $36 - $46

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