Quality Assurance Analyst 🔍 Georgia - Coweta - Newnan (https://careers.georgia.gov/jobs/61009/other-jobs-matching/location-only) 📁 Regulatory (https://careers.georgia.gov/landingpages/regulatory-opportunities-at-team-georgia-6) 💼 Pathways Center 📅    Dec 30, 2024 Post Date Apply for Job Share this Job Sign Up for Job Alerts Job Overview Pathways Center Community Service Board (CSB) provides behavioral health, developmental disabilities, and addictive disease services in the west central Georgia region. Pathways Center's administrative team provides operational support and assistance company-wide, enabling direct support team members to focus on care and service delivery to each client/patient. The individual in this role is a part of the company's Quality Assurance and Compliance team focused on ensuring program and service fidelity, adherence to best practices, and the delivery of high quality services within the Pathways Center organization. Under general supervision, the person in this role interprets and applies statistical, financial, and/or operational data to support continuous quality improvements in service delivery. Responsibilities of the Quality Assurance Analyst- IDD and Residential Services include but are not limited to the following:  Serves as the Subject Matter Expert (SME) for assigned programs and services  Evaluates programs for compliance with service guidelines, contracts, regulatory standards, and best practices  Assists in the development of quality control measures or internal audit tools to ensure adherence to program compliance standards  Serves as the Utilization Manager for assigned programs, monitoring and tracking trends in the treatment/service mix, identifying discrepancies between services ordered and services provided, and identifying under/over-utilized services  Serves as the Utilization Manager for assigned programs to provide entry of prior authorizations of services for clients enrolled within the Intellectual and Developmental Disability programs to ensure accurate and timely billing.  Extracts data from the electronic health record and other systems to monitor and track program outcomes and performance indicators.  Prepares user-friendly charts, graphs, tables, and other formats to communicate results, identify trends, and facilitate review and discussion of information presented  Works with the clinical teams to identify Evidence-Based practices and integrating EBPs into service delivery  Conducts employee time studies; Observes/Analyzes time spent to maximize the utilization of human resources toward meeting performance indicators and service outcomes  Manages stakeholder satisfaction and feedback programs  Assists with stakeholder engagement efforts  Leads client/patient record reviews; Prepares reports and recommendations for improvements in clinical documentation  Leads continuous quality improvement efforts for assigned programs  Assists with monthly programmatic narratives  Exercises various latitudes of independent judgment in researching and reporting areas of inefficiency and providing suggestions for closing performance gaps, including recommendations for system efficiency and integrity  Partners with program directors, managers, and site supervisors to effectively manage change and programmatic performance improvement  Provides hands-on coaching and development of direct service workers  Provides training and technical assistance to internal stakeholders  Leads or assists with audits, compliance reviews, and licensing/certification visits  Provides training and technical assistance to internal stakeholders  Works on a rotating basis to ensure presence in programs that operate on a 24/7 basis  Spends approximately 80% of time onsite at service locations and 20% of time in the office  Attends ongoing training and professional development activities  Participates in focus groups and user groups related to ones area of assignment  Adheres to Pathways Center’s G.R.E.A.T. customer service expectations Minimum Qualifications Bachelor’s degree in a human service or related field AND five years of experience performing work in a related field; OR eight years in a related area of assignment Associate degree from an accredited college or university and three (3) years of job-related experience; or one (1) year of experience required at the lower level Complnc Business Analyst 1 (RCP030) or position equivalent. Additional Information + Agency Logo: + Requisition ID: REG043U + Number of Openings: 1 + Shift: Variable + Posting End Date: Jan 29, 2025