Overview
Quality Assurance Automation Engineer Jobs in Tampa, FL at MEDHOK, INC
Who We Are:
At Community Mainstreaming, our mission is to support individuals with developmental disabilities in living fulfilling, independent lives. Through our comprehensive services, we promote inclusion and empower those we serve to thrive within their communities. We are driven by compassion, innovation, and a strong commitment to making a difference. Learn more about our impactful work at communitymainstreaming.org.
Overview:
As a Quality Assurance Specialist, you will play a vital role in our continuous quality improvement efforts and work collaboratively with program leadership to ensure high standards of service and regulatory adherence. The position ensures regulatory compliance and billing integrity in all programs/services and is responsible for incident management.
Why You’ll Love Working With Us:
A supportive, inclusive team culture where your contributions make a real difference. The chance to work for an organization that transforms lives and empowers individuals with developmental disabilities. Opportunities for career advancement and professional development.
What Your Role Will Do:
Maintain up-to-date knowledge of OPWDD, Justice Center, CMS regulations and OMIG billing protocols.
Review and interpret new regulations and make policy recommendations to maintain compliance.
Assist with policy/procedure revisions to reflect current regulatory standards.
Review current program workflows and documentation requirements.
Monitor Medicaid billing compliance for services including Res Hab, Day Hab, Community Hab, SEMP, and FI.
Conduct internal audits of program records and service documentation.
Prepare audit summaries with corrective action recommendations for Program Directors.
Support external survey readiness and internal quality monitoring.
Collaborate with program managers to implement corrective actions and quality improvements following internal and external audits.
Review non-reportable and reportable incidents using the electronic health record.
Conduct investigations as needed.
Navigate the online IRMA, WSIR and AARM systems for updating incident requirements.
Minimum Qualifications:
Associate’s degree required; Bachelor’s degree from an accredited institution preferred.
A minimum of 2 years of relevant professional experience in a related field.
Strong knowledge of OPWDD regulations, including Parts 624 & 625, and OMIG billing requirements.
Experience with program operations Community Habilitation, Day Habilitation, and Self-Directed Services.
Proficient in Microsoft Office (Word, Excel); experience with eVero is a plus.
Excellent written and verbal communication skills, organizational abilities, and attention to detail.
Current Certification as an Incident Investigator preferred.
Work Location: Westbury and Hicksville, NY (Nassau County)
Work Hours/Schedule: Full-time, Monday – Friday, with flexible scheduling options available.
Pay: $28.00/hr.
Generous Benefits:
Medical Benefits: Generous employer contribution; eligibility begins the first day of the month following 60 days of employment.
Dental Benefits: Employer-paid.
Vision Plan
Accident Insurance
Critical Illness Insurance
Pet Insurance
Identity Theft & Fraud Protection
Legal Services
403(B) Retirement Plan: Organization match of up to 5%.
Life Insurance: 100% employer-paid, coverage of 1x annual salary.
Tuition Assistance
Section 125 Flexible Spending Program
Voluntary Life Insurance and Long-Term Disability Benefits
Paid Time Off:
Up to 80 hours of vacation during the first calendar year of employment. Employees accrue an additional 8 vacation hours each subsequent calendar year, up to a maximum of 120 hours.
Up to 48 hours of personal time per calendar year.
9 paid holidays.
As a non-profit organization, we offer employees the opportunity to qualify for Public Service Loan Forgiveness. Join our team and make a positive impact in the community while benefiting from this valuable financial relief.
Community Mainstreaming Associates is an equal opportunity employer.
Show more
Title: Quality Assurance Automation Engineer
Company: MEDHOK, INC
Location: Tampa, FL
