QUALITY ASSURANCE & CONTRACTS SPECIALIST - HYBRID jobs in United States
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SJRC Texas | Belong · 9 hours ago

QUALITY ASSURANCE & CONTRACTS SPECIALIST - HYBRID

SJRC Texas | Belong is dedicated to providing quality services in child welfare. The Quality Assurance and Contracts Specialist is responsible for ensuring compliance with provider contracts, monitoring performance, and implementing improvement plans to enhance service delivery for children in care.

ChildrenHealth CareNon ProfitSocial

Responsibilities

In collaboration with the Vice President and Supervisor of Quality Assurance and Contracts develop qualitative indicators, outcomes and outputs that can be used by the Department to objectively measure the Provider’s performance and leverage those measures to improve services
Reviews the results of quality assurance reviews and other outputs such as critical incident reports and grievances and appeals, to recommend and initiate system/process improvements
Measure’s performance outcomes established at the federal and state level in relation to Belong and its provider network
Ensures Provider implements a defined process to complete and review background checks and to verify staff education levels and professional licenses
Reviews and analyzes cases, notes, deficiencies, and extracts data to be verified; collects performance data; identifies adverse trends; and determines compliance with service delivery standards, program requirements and policies/procedures
Works and supports network providers in Quality Improvement efforts to mitigate risks and improve outcomes for children in their care
Provides recommendations and executes solutions in Performance Quality Improvement meetings to ensure outcomes are achieved
Maintains strong business relationships with provider network staff to facilitate collaboration and cooperation
Serves as a liaison to monitor and assure response to all client-reported concerns and complaints relating to services provided by Belong or the Provider Network
In collaboration with the Finance Department, reviews financial records to ensure accurate billing
Create and produce reports reflecting the performance measures of provider network; identify trends and make recommendations for improvements
Collaborate with Training Department to conduct trainings based on areas of expertise that can benefit Network providers, Belong employees, or SJRC Texas employees
Adheres to all policies and procedures of the agency and its accrediting and standard setting bodies such as Council on Accreditation and state licensing
Maintains client confidentiality per Belong standards and all applicable codes of ethics
Learns, understands, and supports the Belong mission, purpose, and function
Carries out the Trauma Informed Care principles and practices for both internal and external stakeholders
Responsible for the environmental, cultural, safety, diversity issues and needs of the clients and others that enter the work area
Attends mandatory trainings as defined in positions training matrix
Attends continuing education as necessary to expand knowledge and maintain certifications or licenses
Uses outside professional collaboration and intra-agency teamwork appropriate to the agency
Skilled in organizing work in an environment with multiple challenges and priorities with minimal supervision
Avoid all conflicts of interest, real or perceived
Performs other related duties as assigned

Qualification

Quality AssuranceData AnalysisChild WelfareBusiness ManagementPerformance ImprovementCommunication SkillsOrganizational SkillsTeam Collaboration

Required

Bachelor's Degree from an accredited college or university in Social Services, Accounting, Business Management, or related field. Experience and education years may be combined to meet education requirement
3+ years in Child Welfare, Data Analysis, Quality Assurance & Contracts
3+ years' experience
Valid Texas Driver's License, good driving record, ability to provide own transportation and proof of current automobile insurance
Body mobility to stoop, kneel, bend, reach, and walk (roll) short distances in order to operate equipment
Must be able to lift up to 15 pounds with assistance
Communicate both verbally and in writing
Give and receive verbal and written instructions (with or without hearing aids)
Have fine vision, have sustained vision, and peripheral vision (with or without glasses)
Position is assigned to the Quality Management Department. Minimum of 40 hours per week but may necessitate additional time in order to complete assigned work
Settings with varying moderate to high degrees of background noise
Light and ventilation found in typical setting
Campuses are smoke-free, except on permitted campuses in designated areas
Possible injury when lifting or moving if employee fails to use proper body mechanics, or if proper techniques are not used

Preferred

Master's Degree from an accredited college or university in Accounting, Business Management, or related field

Company

SJRC Texas | Belong

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Supporting families and nurturing children to build safe, thriving communities in Bexar County and South Central Texas and the Hill Country Region.

Funding

Current Stage
Growth Stage

Leadership Team

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Tara Roussett, MBA
Chief Executive Officer
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Carlye Dupart
Chief Administrative Officer (CAO)
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