Quality Assurance & Compliance Analyst

Remote, USA Full-time
Benefits: • 401(k) • Dental insurance • Health insurance • Paid time off • Vision insurance Quality Assurance & Compliance AnalystRemote Degree Required: Nope! (Experience matters more) Ensure Excellence, Safeguard Compliance At Moms In Motion, our Quality Assurance & Compliance Analyst is the guardian of integrity. You’ll dive deep into policies, audits, and DMAS Medicaid waiver regulations to make sure our services are not only top-notch but also fully compliant. Your work protects the organization, supports our teams, and ensures the families we serve continue to receive safe, high-quality care.What You’ll Do • Conduct regular and targeted audits of case files, billing, and service delivery to ensure compliance with Medicaid waiver and DMAS regulations • Develop and maintain monitoring tools, checklists, and audit logs • Identify compliance gaps or risks and recommend appropriate corrective action plans • Interpret DMAS provider manuals, memos, and regulatory updates • Track regulatory changes and communicate implications to leadership and relevant teams • Collaborate with internal teams to ensure policies, procedures, and practices remain compliant with evolving DMAS regulations • Stay current on federal and state medicaid regulations, DMAS manuals, and healthcare compliance best practices.• Handle documentation and internal response for critical incident reports and suspected fraud or abuse • Work with appropriate departments to address incidents, ensuring proper resolution and reporting • Prepare written summaries and compliance reports for leadership, including audit findings, trends, and recommendations • Maintain organized records of audit results, remediation plans, and compliance activities • Monitor adherence to HIPAA and confidentiality standards • Provide guidance and training to staff on Medicaid waiver regulations, documentation standards, and compliance requirements • Support preparation for external audits or monitoring visits from DMAS or other entities • Uses care and discretion when handling personal information and client records • Participates in required company calls, team meetings, and ongoing compliance training What We’re Looking For ✅ 3+ years in compliance, auditing, or quality assurance (Medicaid waiver, healthcare, human services, or legal setting).✅ In-depth knowledge of DMAS Medicaid waiver regulations and provider manuals - HUGE PLUS! ✅ Strong analytical and auditing skills with excellent attention to detail ✅ Excellent verbal and written communication skills, with the ability to translate regulatory language into clear, actionable guidance ✅ Proficiency in bolthires Office Suite (Excel, Word, PowerPoint), bolthires Workspace, and electronic health/record systems= ✅ Ability to handle sensitive information with confidentiality and integrity ✅ Able to pass a background check + provide 2 professional references.⭐ Bonus points: Experience with DMAS compliance audits or a compliance/QA certification. Perks & Benefits We’ve got you covered with: • Paid Training (we set you up for success!) • PTO • 11 Paid Holidays • Medical, Dental & Vision Insurance • Disability, Life, and AD&D—company paid! • 401K with Employer Match • EAP & Telemedicine Access • Flexible Spending Accounts & Dependent Care Options • Supplemental Insurance (Accident, Cancer, Critical Care & more) • Annual Tech Stipends • Fun Employee Perks (discounts on car rentals, bolthires, AAA, oil changes & more!) Analytical.Ethical. Detail-driven. If that sounds like you → at www.momsinmotion.net! This is a remote position. Apply tot his job Apply tot his job
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