GMDP Quality Assurance Manager leading quality assurance operations at a pharmaceutical site in Dublin, ensuring compliance with GMP standards and regulatory requirements.
About the role
- Quality Assurance Specialist responsible for compliance and performance excellence in healthcare operations. Conducting audits, outreach, and collaborating across teams to improve service quality.
Responsibilities
- Ensure quality, compliance, workflow accuracy, and performance excellence across Enhanced Care Management (ECM), Community Supports (CS), Behavioral Health (BH), and Community Health Worker (CHW) operations
- Audit member records, assessments, and documentation to ensure compliance with ECM, CS, BH, CHW, CalAIM, and Medi-Cal standards
- Monitor outreach, referral, and disenrollment workflows to ensure adherence to required timelines and regulatory guidelines
- Evaluate ECM, CS, BH, and CHW workflows for accuracy, efficiency, and risk exposure
- Develop corrective action plans and process improvements to enhance operational performance
- Track QA metrics across documentation accuracy, outreach compliance, and verification standards
- Collaborate with leadership to ensure ECM, CS, BH, and CHW QA metric thresholds are consistently achieved
- Conduct community-based outreach across multiple counties through in-person engagement and digital channels
Requirements
- Bachelor’s degree in Healthcare Administration, Public Health, Social Work, or related field
- 2+ years of experience in quality assurance, care coordination, compliance, or healthcare program auditing
- Familiarity with ECM, CS, BH, CHW, CalAIM, Medi-Cal, HIPAA, and care coordination workflows
- Strong analytical and problem-solving skills
- Excellent documentation, communication, and interpersonal skills
- Proficiency in CRM/EMR systems and Excel
- Driver's License and Reliable transportation required for 40% outreach
Benefits
- 80 hours of Paid Time Off (PTO) and Paid Sick Time
- 11 paid holidays per year (including birthday)
- 4 paid volunteer hours per month
- Bereavement leave (including fur babies)
- 90% employer-paid employee-only medical benefits
- Flexible Spending Account (FSA)
- Short-term & long-term disability, AD&D, and Employee Assistance Program (EAP)
- 401(k) with company match
- Professional development and growth opportunities
- Employee discount programs and quarterly in-person events
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