Job Overview We are seeking a proactive and detail-oriented Quality Compliance Specialist to join our team. The Quality and Compliance (QC) Specialist must maintain a detailed understanding of all current AFA contracts, as well as a basic understanding of all functions within Operations in order to assist with high priority issues and projects that require a quick turnaround. They must have the ability to gather information and research contract compliance issues in order to support Quality and Compliance, Program Managers, and Operations teams. The QC Specialist will assist the Quality and Compliance Department with responding to internal and external requests for information, audits, subpoenas, complaints, and surveys. This person must have excellent project management skills and be able to foster a cohesive company-wide-team approach to quality improvement. Duties Maintain detailed understanding of all current AFA contracts and provider manuals, acting as a contract/manual subject matter expert Act as a liaison between the Program Managers/ Executive Directors and Operations teams, communicating and helping to resolve any issues concerning contract-legislative changes, contract deliverables, and quality concerns Serve as contract administrator, focusing on successful completion/implementation of all contract deliverables, including: state audits; emergency management, internal trainings on state and program requirements/business rules, internal reporting of survey results and implementation of any corrective action plans, and coordination with appropriate state/program on Requests for Information and other communications Document management, including forms, program communication, manual updates, and fact sheet updates Identify and develop action plans and/or efficiencies in response to trends and risks across states and programs Independently manage and prioritize multiple projects at once and makes decisions about their relative priority at any given time Facilitate cross-department participation to compile accurate documentation needed for timely responses to Audits, Subpoenas and RFI, while maintaining detailed records as they relate to the request in compliance with HIPAA and contract requirements Package audit results, identify trends and provide feedback for internal quality improvement projects Oversee the complaint process for tracking and trending purposes and conduct reviews of quality issues and client concerns for trends Assist departments with the development of corrective and preventatives actions necessary to resolve further issues Research, develop, and maintain systems to ensure the organization complies with all policy, process, contract, and regulatory requirements Lead quality improvement and compliance endeavors with a disciplined and structured problem solving approach that aligns to business priorities Develop project plans and schedules Develop internal and external audits and surveys, then analyze and report results to measure organizational success and establish future goals to improve customer satisfaction Provide staff training and tracking in support of meeting contractual training requirements as needed/requested Perform other work-related duties as assigned

Pay:

$55,000.00 - $65,000.00 per year

Benefits:

401(k) matching Dental insurance Disability insurance Flexible schedule Health insurance Health savings account Life insurance On-the-job training Paid jury duty Paid time off Parental leave Referral program Vision insurance Application Question(s): What is your compliance background as it relates to the healthcare industry?

Work Location:

Hybrid remote in Mesa, AZ 85201