GA DD Quality Review Specialist III

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for under-served communities.

Best People, Best Solutions, Best Results

Job Summary:

Qlarant is seeking a dedicated GA Quality Assessor to join our team on a full-time, regular basis. This position is home-based in Georgia, with a requirement to travel up to 75% of the time. As a GA Quality Assessor, you will facilitate routine evaluations to assess the extent to which individuals with intellectual developmental disabilities (IDD) are receiving customized support and services tailored to their unique needs and specific situations. Performs scheduled reviews to assess how effectively IDD service providers are in preserving the health and safety of the individuals in their care. Assists management in identifying areas for improvement in service delivery, providing technical assistance, generating meaningful recommendations, and collaborating with service providers to execute continuous improvements that meet the needs of individuals with developmental disabilities

Essential Duties and Responsibilities include the following. Other duties may be assigned.

To perform the job successfully, an individual should demonstrate the following competencies:

• Business Expertise - Basic understanding of how own department integrates within the Business Area.
• Problem Solving - Uses judgment based on the analysis of information.
• Nature of Impact - Direct impact by ensuring the quality of the tasks/services/information provided by self and others.
• Area of Impact - Primarily on an department.
• Interpersonal Skills - Developed communication and diplomacy skills used to direct/persuade/influence others.
• Leadership - Mentors junior team members.
• Functional Knowledge - In-depth understanding of concepts and principles in own discipline and basic knowledge of these elements in other disciplines.
• Project Management - Senior project/program team member responsible for work flow which is varied in nature with situations frequently requiring new solutions.
• Proficiency in data analysis and reporting
• Knowledge of quality assurance methodologies and tools
• Ability to work independently and as part of a team
• Experience with regulatory compliance and standards
• Proficient in Microsoft Office Suite and quality management software
• Detail-oriented with a commitment to accuracy
• Time management skills with the ability to prioritize tasks
• Adaptability and willingness to learn new processes and techniques
• Adaptability to changing environments and regulations
• Willingness to travel extensively as required by the job

Education and/or Experience:

• Bachelor's degree in a relevant field (e.g., Human Services, Healthcare)
• Five to seven years of prior experience in Intellectual/Developmental Disabilities services and Centers for Medicare and Medicaid (CMS) regulations
• Experience with conducting audits and assessments strongly preferred
• Proven track record of identifying quality issues and implementing improvements strongly preferred
• Demonstrated ability to manage projects and initiatives strongly preferred
• History of maintaining confidentiality and handling sensitive information strongly preferred

Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.