Quality Assurance Specialist

Job DetailsLevel: ExperiencedJob Location: Oakland - Jefferson Office - Oakland, CA 94607Position Type: Full TimeEducation Level: Graduate DegreeSalary Range: $80,000.00 - $85,000.00 Salary/yearJob Category: Nonprofit - Social ServicesUnder the supervision and direction of the Chief Program Officer, the Quality Assurance Specialist serves within Program Administration and provides agency-wide support for quality assurance, documentation review, privacy and confidentiality standards, records management, risk management, and continuous quality improvement activities. Working collaboratively with a multidisciplinary team that includes grants and contracts administration, program analytics, and program service divisions, the Quality Assurance Specialist helps strengthen organizational effectiveness, support regulatory compliance, ensure audit readiness, and promote continuous quality improvement throughout Catholic Charities East Bay.

Essential Responsibilities:


Provide technical assistance and training to program staff regarding documentation standards, quality assurance findings, privacy requirements, and compliance expectations.
Collaborate with program leadership to develop corrective action plans and quality improvement strategies.
Assist program leadership in preparing for external monitoring visits, audits, accreditation reviews, and funder compliance assessments.
Conduct client chart reviews and internal audits.
Assist in the development and implementation of Continuous Quality Improvement (CQI) initiatives across agency programs.
Monitor trends identified through audits, chart reviews, and compliance activities and recommend corrective or preventive actions.
Assist in the development, review, and maintenance of agency policies, procedures, forms, and compliance documentation.
Monitor agency practices for alignment with established policies and contractual requirements.
Monitor compliance with HIPAA and privacy standards.
Support file retention and records management requirements.
Develop quality assurance reports and audit summaries.
Assist with corrective action planning and implementation.
Other duties as assigned.


 

Success Metrics:


Demonstrated improvements in documentation quality, compliance outcomes, or program performance through quality improvement activities.
Timely completion of audit schedules.
Accurate quality assurance reporting.


Successful implementation of corrective action plans.
Qualifications
Master's degree in Public Health, Social Work, Healthcare Administration, Public Administration, Psychology, Sociology, or related field.
Minimum two (2) years of quality assurance, compliance, or quality improvement experience required; three (3) years preferred in public health, nonprofit, behavioral health, healthcare, or community health center settings.
Knowledge of HIPAA, privacy, confidentiality, records retention, documentation standards, and regulatory requirements applicable to nonprofit human service organizations.
Demonstrated experience developing, writing, reviewing, updating, and implementing policies, procedures, protocols, forms, and operational guidelines.
Experience interpreting contractual, regulatory, funding, and organizational requirements and translating them into practical operational procedures.
Experience preparing for, participating in, and responding to internal and external audits, monitoring visits, compliance reviews, accreditation activities, or similar quality assurance processes.
Experience analyzing and synthesizing information from multiple sources, including contracts, grant agreements, regulations, policies, and program requirements, to support organizational compliance and quality improvement efforts.
Demonstrated exceptional attention to detail, accuracy, and organization, including the ability to identify documentation deficiencies, compliance concerns, procedural inconsistencies, and potential risks.
Ability to review, analyze, and prepare audit findings, quality assurance reports, corrective action plans, compliance recommendations, and other related documentation.
Strong technical writing skills, including the ability to prepare policies, procedures, reports, training materials, and compliance-related documentation.
Experience conducting client chart reviews, documentation reviews, and internal audits.
Knowledge of file retention standards, records management practices, and documentation requirements.
Experience and proficiency utilizing electronic records systems, databases, reporting platforms, and Microsoft Office applications, including Excel.
Strong analytical, organizational, written, and verbal communication skills.


Core Competencies:


Ability to identify operational, compliance, documentation, contractual, and programmatic risks and recommend appropriate mitigation strategies.
Knowledge of quality assurance, compliance monitoring, and continuous quality improvement (CQI) methodologies.
Ability to conduct audits, chart reviews, compliance assessments, and documentation reviews with a high degree of accuracy and attention to detail.
Strong analytical and problem-solving skills, including the ability to evaluate data, identify trends, and develop actionable recommendations.
Ability to provide technical assistance, training, and coaching to program staff regarding quality assurance, documentation, and compliance requirements.
Flexibility to work across multiple program divisions supporting a variety of service models, funding sources, and regulatory requirements.
Strong written and verbal communication skills, including the ability to prepare reports, present findings, and communicate recommendations effectively.
Ability to establish and maintain collaborative working relationships while effectively communicating compliance findings, recommendations, and corrective actions.
Proficiency in electronic records systems, databases, and Microsoft Office applications, including Excel and data reporting tools.