Vermont Quality Assurance Administrator

Job Summary

Supporting quality assurance oversight for Case Management services, the full-time remote Vermont Quality Assurance Administrator will monitor compliance with Medicaid requirements, conduct record reviews, analyze performance data, and assist in continuous quality improvement initiatives.

Key responsibilities

• Administer and support the Quality Assurance and Continuous Quality Improvement program for care coordination services
• Conduct quality reviews of support plans and case records to ensure compliance with organizational and regulatory requirements
• Analyze quality and performance data to identify trends and opportunities for improvement, while preparing reports for leadership and external stakeholders

Required qualifications

• Bachelor's degree in Human Services, Behavioral Sciences, Social Sciences, or a related field, or four years of relevant experience
• Minimum of three years of experience in quality assurance, auditing, or quality improvement within healthcare or Medicaid services
• Experience in case management or developmental disabilities services is strongly preferred
• Knowledge of Medicaid, HCBS, and state policies and regulations
• Proficiency in Microsoft Office 365 and electronic record systems