Quality Assurance & Compliance Analyst

Moms In Motion - A Virginia Service Facilitation Provider
Full time
Other
United States
Hiring from: United States
Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance


Quality Assurance & Compliance Analyst

Remote

Degree Required: Nope! (Experience matters more)

Ensure Excellence, Safeguard Compliance

At Moms In Motion, our Quality Assurance & Compliance Analyst is the guardian of integrity. You’ll dive deep into policies, audits, and DMAS Medicaid waiver regulations to make sure our services are not only top-notch but also fully compliant. Your work protects the organization, supports our teams, and ensures the families we serve continue to receive safe, high-quality care.

What You’ll Do

  • Conduct regular and targeted audits of case files, billing, and service delivery to ensure compliance with Medicaid waiver and DMAS regulations
  • Develop and maintain monitoring tools, checklists, and audit logs
  • Identify compliance gaps or risks and recommend appropriate corrective action plans
  • Interpret DMAS provider manuals, memos, and regulatory updates
  • Track regulatory changes and communicate implications to leadership and relevant teams
  • Collaborate with internal teams to ensure policies, procedures, and practices remain compliant with evolving DMAS regulations
  • Stay current on federal and state medicaid regulations, DMAS manuals, and healthcare compliance best practices.
  • Handle documentation and internal response for critical incident reports and suspected fraud or abuse
  • Work with appropriate departments to address incidents, ensuring proper resolution and reporting
  • Prepare written summaries and compliance reports for leadership, including audit findings, trends, and recommendations
  • Maintain organized records of audit results, remediation plans, and compliance activities
  • Monitor adherence to HIPAA and confidentiality standards
  • Provide guidance and training to staff on Medicaid waiver regulations, documentation standards, and compliance requirements
  • Support preparation for external audits or monitoring visits from DMAS or other entities
  • Uses care and discretion when handling personal information and client records
  • Participates in required company calls, team meetings, and ongoing compliance training


What We’re Looking For

3+ years in compliance, auditing, or quality assurance (Medicaid waiver, healthcare, human services, or legal setting).

In-depth knowledge of DMAS Medicaid waiver regulations and provider manuals - HUGE PLUS!

Strong analytical and auditing skills with excellent attention to detail

Excellent verbal and written communication skills, with the ability to translate regulatory language into clear, actionable guidance

Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint), Google Workspace, and electronic health/record systems=

Ability to handle sensitive information with confidentiality and integrity

Able to pass a background check + provide 2 professional references.

Bonus points: Experience with DMAS compliance audits or a compliance/QA certification.

Perks & Benefits

We’ve got you covered with:

  • Paid Training (we set you up for success!)
  • PTO
  • 11 Paid Holidays
  • Medical, Dental & Vision Insurance
  • Disability, Life, and AD&D—company paid!
  • 401K with Employer Match
  • EAP & Telemedicine Access
  • Flexible Spending Accounts & Dependent Care Options
  • Supplemental Insurance (Accident, Cancer, Critical Care & more)
  • Annual Tech Stipends
  • Fun Employee Perks (discounts on car rentals, Verizon, AAA, oil changes & more!)


Analytical. Ethical. Detail-driven.

If that sounds like you → Apply today at www.momsinmotion.net!

This is a remote position.

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