Program Integrity & Compliance Quality Assurance Manager

Boston, MA, United States

**Overview**

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.-all committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in six Canadian provinces and Europe. PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit www.publicconsultinggroup.com .

**Responsibilities**

+ Develops and implements business approaches and strategies.

+ Responsible for reviewing program integrity reports by collecting, analyzing, summarizing, and trending data to ensure the integrity of the reports are compliant with federal and state regulations. Additionally, this role will utilize data to inform the development of policies, process and operational standards.

+ Upon request by the Agency, this role shall lead, coordinate and track project milestones and process improvement activities as necessary to align with Agency mission and vision

+ Analyzes quality and performance trends to provide recommendations to Team Leads for improvement

+ Responsible for scheduling, facilitation, and documentation of regular continuous improvement meetings

+ Responsible for ongoing staff training and development, manage quality assurance function and implement action plans to achieve team goals.

+ Upon request by the Agency, this role shall lead, coordinate and track project milestones and process improvement activities as necessary to align with Agency mission and vision

+ Tracks the progress and performance of programs, offices, services, and staff as assigned.

**Qualifications**

Education: Bachelor's Degree in Business Administration, Public Health, Healthcare Administration, or Public Policy; or equivalent work experience.

Experience:

+ 2-5+ years of relevant work experience

+ Experience working with clinical resources and data analytic results.

+ Experience developing and implementing statewide program policies and procedures preferred.

+ Direct supervisory or management experience.

Required Skills:

+ Ability to understand and interpret federal and state laws and regulations. Knowledge of Iowa-specific state regulations preferred.

+ Knowledge and expertise in interpreting and applying federal compliance regulations, including HIPAA and IT security.

+ Ability to develop process documentation and project quality reporting processes and procedures.

+ Proficiency in designing, developing and executing functional testing deliverables.

+ Strong analytical and problem-solving skills and continuous improvement mindset.

+ Experienced in understanding products and processes and proven ability to break them down into testing components.

+ Ability to review clinical results and assure clinical team and work quality.

Working Conditions:

+ Hybrid Remote Schedule (1-2 days in office)

+ Candidates MUST live within 2 hour driving distance to the Des Moines, IA office

+ Candidates MUST be a resident of Iowa

+ Travel may be required up to 10% for client meetings

**Remote Work Statement:**

This position is a remote, work from home position. PCG is a remote-friendly organization and is committed to creating a culture where remote work remains a vital part of the company's success. To be successful in a remote work role at PCG, you must:

+ be available during your set working hours.

+ have a safe, private, and distraction-free environment in which to complete your work, and

+ be able to give your full attention to the completion of your PCG job duties.

Some travel to the office or elsewhere may be required for team meetings, client meetings, etc.

We are accepting applications on an ongoing basis until filled.

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**Compensation**

**Compensation for roles at Public Consulting Group varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, PCG provides the following reasonable range of compensation for this role: $80,000-$100,000 and a potential discretionary bonus** **o** **f** **up to 10%. In addition, PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave.**

**EEO Statement**

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employmentregarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programsare based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

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**Job Locations** _US | US-IA-Cedar Rapids | US-IA-Council Bluff_

**Posted Date** _3 weeks ago_ _(2/13/2024 10:54 PM)_

**_Job ID_** _2024-10168_

**_# of Openings_** _1_

**_Category_** _Operation Support_

**_Type_** _Regular Full-Time_

**_Practice Area_** _Health Services_

Public Consulting Group is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, protected veteran status, or status as a qualified individual with a disability. VEVRAA Federal Contractor.

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