The Quality Assurance Manager provides accountability and risk management perspective to clinical operations by auditing to and helping maximize compliance with laws, regulations, accreditation standards, and payor requirements. The Manager reports to the Chief Legal Officer, but works closely with assigned clinical partners.
Essential Duties:
- Conduct audits, remote and onsite, regularly or unannounced, as required by the annual compliance plan to include regulatory, accreditation, and clinical programming compliance
- Coordinate response to regulatory and payer audits and inspections and ensure all matters are appropriately tracked
- Assure that accreditation-required activities are conducted and documented, and coordinate accreditation reviews
- Conduct investigations involving clients and or/employees
- Monitor incident reports and ensure appropriate internal escalation as well as third-party notification where appropriate
- Serve as an escalation point for consumer complaints
- Communicate to Partner Leadership and CLO:
- Results of internal audits
- Effectiveness of corrective action
- Changes in regulation, accreditation, or payer standards
Eligible candidates can have a bachelor's degree in a relevant field, such as business, healthcare administration, or a clinical discipline for this position when coupled with a minimum of five (5) years of clinical operations leadership experience,or;A master's degree in a relevant field such as business, healthcare administration, or a clinical discipline coupled with three (3) years of experience working in clinical operations leadership or quality management.
Salary Range
$71,218.00- $78,808.00
Employment benefits include:
- Competitive salaries that commensurate with experience
- Health, Dental and Vision Benefits
- FSA/HSA
- Company Paid Basic Life
- Voluntary Supplemental Benefits, such as, Accident, Critical Illness, Short-Term Disability, etc.
- 401k Plan
ncgCARE and its affiliated partners are committed to equal opportunity for all, without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, or any other protected characteristic. ncgCARE will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business.
If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact us at hrteam@ncgcare.com. If you require relay service assistance, please click on the following link to review information on your state’s relay service: http://transition.fcc.gov/cgb/dro/trsphonebk.htmlncgCARE participates in the E-Verify program. Therefore, any employment with ncgCARE will also be contingent upon confirmation from the Social Security Administration (“SSA”) and/or the Department of Homeland Security (“DHS”) of your authorization to work in the United States.ncgCARE offers excellent compensation packages including salary commensurate with experience and benefits to meet your needs for today and the future.EEO is the LawEEO SupplementE-VerifyFamily Medical LeavePay Transparency
ncgCARE and all partner affiliates maintain a drug-free workplace.
