QUALITY CONTROL SPECIALIST

Company: CICOA
Location: Indianapolis
Posted on: November 7, 2024

Job Description:

Summary: Under the guidance and oversight of the Director of Quality, the Quality Control Specialist will assist the department with the development, implementation, auditing, and monitoring of quality assurance processes throughout the agency to improve governance, risk management, and internal control processes.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Perform audits of 3rd party contracts to ensure contractual requirements are met.
• Analyze current organizational processes to increase compliance risk mitigation through auditing processes.
• Prepare written reports of enterprise-wide audit and monitoring findings to include recommendations.
• Conduct regular audits of processes and deliverables to ensure compliance with quality standards.
• Coordinate, monitor, compile, and review responses to federal, State, and other external audits (e.g., CMS Payment Error Rate Measurement PERM audit) or other types of inquiries (HHS OIG targeted reviews).
• Review and collaborate with Fiscal on the findings of the annual financial audit to ensure corrective action, if applicable, is met successfully
• Work closely with cross-functional teams to promote quality assurance practices with clear internal controls.
• Demonstrate familiarity and understanding of the Uniform Guidance pertaining to federal grants.
• Assist in coordinating responses to program and financial audit findings by external auditors, monitors, State evaluators, etc.
• Maintain sufficient knowledge of overall program guidelines and compliance activities.
• Prepare audit reports, highlighting findings and recommendations for improvement.
• Demonstrate strong critical thinking and problem-solving skills.
• Establish priorities, manage deadlines, and implement new policies and processes.
• Demonstrate strong organizational skills with the ability to manage multiple priorities simultaneously.
• Demonstrate effective communication and resolve issues with professionalism and sensitivity.
• Travel locally as needed.
• Perform other duties as assigned.
  
  Supervisory Responsibility
  
  No supervisor responsibility.
  
  Qualifications
  
  To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  
  Education and/or Experience
  
  Bachelor's Degree in any field from accredited college or university; critical thinking skills, attention to detail, and ability to read, interpret, and apply related compliance and HIPAA regulations are required. Experience with corporate healthcare compliance, healthcare regulatory guidelines related to fraud, waste, abuse, financial audits, healthcare certification in privacy or compliance, and working with the client population served is preferred.

Keywords: CICOA, Bloomington , QUALITY CONTROL SPECIALIST, Other , Indianapolis, Indiana