The Quality Control Analyst is a vital contributor to our mission and vision of providing high quality, client-centered and affordable home health services to our clients to assist them to lead dignified and independent lives in the comfort and safety of their own homes.

Reporting to the Chief Compliance Officer, it is the Quality Control Analyst’s responsibility to analyze operational workflows and processes to measure their compliance with internal policies and industry regulations. The success of the Quality Control Analyst will be measured by productive completion of audits and effective presentation of each audit’s results.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Perform independent control testing activities and document results
• Evaluate and measure work performed in accordance with Standard Operating Procedures and regulations
• Review time records, Electronic Visit Verification data, billing records, payroll records, personnel files, authorization records, and other related data to confirm processes were completed correctly
• Prepare audit documentation and summaries
• Communicate findings and recommendations to stakeholders
• Establish and maintain relationships with various departments to understand work processes and requirements
• Educate other departments on discovered quality gaps
• Support the development and refinement of monitoring and testing scripts
• Assist in the tracking of identified issues and corrective action plan management
• Assist in developing and maintaining issue management best practices
• Assist with gathering records to respond to external requests and audits
• Assist with Ad hoc projects as necessary
• Other duties as assigned

COMPLIANCE AS REQUIREMENT OF PERFORMANCE:

• All associates are expected to participate in any investigatory activities
• All associates are expected to report any violation of our policies and procedures
• All associates are expected to conduct themselves in an ethical manner consistent with our mission statement and Standards of Conduct
• All associates are expected to protect the privacy of protected records and must conduct themselves consistent with all applicable laws and policies regarding privacy protection, including HIPAA and state specific privacy laws

COMPETENCIES/SKILLS (Required):

• Must have advanced computer skills – strong proficiency in Microsoft 365 including Excel,Word, Outlook, and Teams
• Must be able to comprehend regulations and guidance documents and apply critical thinkingskills to evaluate requirements
• Must be detail oriented and able to effectively communicate verbally and in writing
• Able to work independently on projects with minimum oversight
• Able to learn quickly and dissect complicated issues
• Able to research and resolve issues independently while working across teams to acquire information
• Able to safeguard confidential information
• Able to function effectively as a member of a team

PREFERRED EXPERIENCE (Not Required):

• Bachelor’s degree preferably in a business-related field
• Experience in Home Care Agency operations
• Familiarity with the HHAeXchange software system
• Knowledge of Risk Management and Internal Audit concepts
• Experience with testing methodology development
• Experience with auditing, business process inquiry and analysis

PHYSICAL DEMANDS:

• Regular requirement to sit; use hands to touch, handle or feel
• Ability to work using a computer during entire shift
• Occasional requirement to stand; walk and reach with hands and arms
• Occasional requirement to lift and/or move up to 30 pounds
• Vision abilities include close vision, peripheral vision, depth perception and ability to adjust focus

WORK ENVIRONMENT:

• Business Office Environment
• Noise level is usually moderate

Job Type: Full-time

Schedule:

• Monday to Friday

Work setting:

• In-person

Ability to commute/relocate:

• Philadelphia, PA: Reliably commute or planning to relocate before starting work (Required)

Work Location: In person

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