Quality Control Analyst
Role Overview
In-person Quality Control Analyst role reporting to the Chief Compliance Officer and working closely with the Quality Control Administrator.
Analyzes operational workflows and data to evaluate compliance with internal policies and industry regulations.
Success is measured by completing audits, presenting results, and implementing corrective action plans.
Key Skills for This Role
Full Job Posting
Role overview
In-person Quality Control Analyst role reporting to the Chief Compliance Officer and working closely with the Quality Control Administrator.
Analyzes operational workflows and data to evaluate compliance with internal policies and industry regulations.
Success is measured by completing audits, presenting results, and implementing corrective action plans.
Essential duties
- Perform independent control testing and audits and document results.
- Analyze data to identify quality trends and patterns.
- Develop and maintain quality-control procedures and protocols; support refinement of testing scripts.
- Work across teams to resolve quality issues and implement corrective actions.
- Prepare detailed quality-control audit reports.
- Review time records, Electronic Visit Verification data, billing and payroll records, personnel files, authorization records, and related records for accuracy.
- Educate departments about discovered quality gaps.
- Stay current with quality-control trends and best practices.
- Support issue-management practices and gather records for external requests and audits.
- Assist with ad hoc projects and other assigned duties.
Required competencies and skills
- Bachelor’s degree, preferably in a business-related field.
- Advanced computer skills and strong Microsoft 365 proficiency, including Excel, Word, Outlook, SharePoint, and Teams.
- Able to understand regulations and guidance and apply critical thinking to evaluate requirements.
- Detail-oriented with effective verbal and written communication.
- Able to work independently with minimal oversight and function effectively on a team.
- Able to safeguard confidential information and follow applicable privacy requirements, including HIPAA and state-specific privacy laws.
Preferred experience
- Home care agency operations experience is preferred.
- Familiarity with HHAeXchange is preferred.
- Power BI or SQL experience is preferred.
- Knowledge of risk management and internal audit concepts is preferred.
Work environment and physical demands
- The posting identifies this as an in-person position in a business office environment with usually moderate noise.
- The role involves computer work throughout the shift, regular sitting and hand use, and occasional standing, walking, reaching, and lifting or moving up to 30 pounds.
- Vision requirements include close and peripheral vision, depth perception, and the ability to adjust focus.
Compliance expectations
Associates are expected to participate in investigations, report policy violations, and act ethically in accordance with company standards.
Associates must protect private records and follow applicable privacy laws and policies.
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