Quality Assurance & Compliance Analyst

Moms In Motion

Quality Assurance & Compliance Analyst

Fairfax, VA
Full Time
Paid
  • Responsibilities

    Benefits:

    401(k)

    Dental insurance

    Health insurance

    Paid time off

    Vision insurance

    🌟 Quality Assurance & Compliance Analyst

    πŸ“ Remote

    πŸŽ“ Degree Required: Nope! (Experience matters more)

    πŸ›‘ 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.

    πŸš€ 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

    πŸ‘€ What We’re Looking For βœ… 3+ years in compliance, auditing, or quality assurance (Medicaid waiver, healthcare, human services, or legal setting). βœ… In-depth knowledge of DMAS Medicaid waiver regulations and provider manuals - HUGE PLUS! βœ… Strong analytical and auditing skills with excellent attention to detail βœ… Excellent verbal and written communication skills, with the ability to translate regulatory language into clear, actionable guidance βœ… Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint), Google Workspace, and electronic health/record systems= βœ… Ability to handle sensitive information with confidentiality and integrity βœ… 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 πŸŽ‰

    Medical, Dental & Vision Insurance

    Disability, Life, and AD&Dβ€”company paid!

    401K with Employer Match πŸ’°

    EAP & Telemedicine Access

    Flexible Spending Accounts & Dependent Care Options

    Supplemental Insurance (Accident, Cancer, Critical Care & more)

    Annual Tech Stipends πŸ’»

    Fun Employee Perks (discounts on car rentals, Verizon, AAA, oil changes & more!)

    🌟 Analytical. Ethical. Detail-driven.

    If that sounds like you β†’ Apply today at www.momsinmotion.net!

    This is a remote position.