Merakey · 4 weeks ago
Quality Assurance Risk Manager
Rancho Cordova, CA
Full-time
Hybrid
Mid, Senior Level
1+ years expMerakey is a non-profit provider of developmental, behavioral health, and education services, seeking a Quality Assurance Risk Manager. The role involves interfacing with Payers and State Agencies, analyzing data for quality improvement, ensuring regulatory compliance, and leading project activities related to quality and risk management.
EducationHealth CareNon Profit
Responsibilities
Directly interface with Payers/State Agencies in response to and in resolution of measurement-based care
Serve as primary contact for program management
Aggregate and analyze data from payer Value Base/Quality Incentive Program, indicators, investigations, audits, corrective action plans, licensing inspection surveys, serious incidents, staffing, etc., to identify systemic concerns, trends and make value added recommendations for focused quality improvement efforts
Ensure regulatory compliance with quality system procedures, complaint handling, satisfaction survey, safety, and adverse events reporting
Serve as Project lead for assigned activities from the quality and risk management plan; delegate and assign project tasks and cases to team members
Coordinate with team supervisor/managers on initial assignment of development and follow up for implementation of improvement processes
Conduct risk screening/assessments, investigations, and root cause analysis
Support the development and implementation of improvement plans in response to identified risk areas
Assist in the development of the annual Quality Assurance Risk Management Plan
Facilitate Quality/Risk Management meetings & discussion with members of program management relative to quality improvement initiatives
Assist with the completion of safety inspection at least annually of each service location owned, rented, or leased by the provider
Assist in the development of technology infrastructure to support the Quality Management Process
Attend cross training for quality/risk improvement functions
Qualification
Required
Bachelor's degree in human services and/or equivalent experience and/or training required
1-3 years of experience in quality improvement/Assurance/Risk Management required
Preferred
Minimum one year of supervisory or managerial experience
Experience in data collection, analysis and interpretation is required
Knowledge of regulations, internal policies, and the various services provided by Merakey
Able to work within tight timeframes to provide appropriate responses and feedback to program or payers
Capabilities to multi-task and prioritize multiple assignments
Benefits
Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support.
Retirement plan- both pre-tax and Roth (after-tax) options available for employee contributions.
DailyPay- access your pay when you need it!
On the Goga well-being platform, featuring self-care tools and resources.
Access Care.com for backup childcare, elder care, and household services.
Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP).
Tuition reimbursement and educational partnerships.
Employee discounts and savings programs on entertainment, travel, and lifestyle.
Access to Pryor Online Learning for free online personal development classes.
Company
Merakey
Merakey is a non-profit organization that provides behavioral and mental retardation education services.
5001-10000 employees
Funding
Current Stage
Late StageTotal Funding
$0.24MKey Investors
NJ Human Services
2024-09-04Grant· $0.24M
Leadership Team
Adam Levandoski
IT Instructional Designer | Software Instructor
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