Quality Assessor Review Specialist III

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for under-served communities.

Best People, Best Solutions, Best Results

Job Summary:

Qlarant is seeking a dedicated and meticulous GA Quality Assessor to join our team on a full-time, regular basis. This mid-career level position is home-based in Georgia, with a travel component of up to 75%. The Quality Assessor will play a crucial role in ensuring the highest standards of quality are met across our services. The successful candidate will be responsible for conducting thorough assessments and reviews of various systems and practices to identify areas for improvement, ensure compliance with the Department of Behavior Health and Developmental Disabilities (DBHDD) regulatory standards and Home and Community Based Services (HCBS) waiver requirements, and provide technical assistance to improve the quality of services. Key responsibilities include facilitating routine evaluations to assess the extent to which individuals with intellectual developmental disabilities (IDD) are receiving customized support and services tailored to their unique needs and specific situations. Performs scheduled reviews to assess how effectively IDD service providers are in preserving the health and safety of the individuals in their care. Assists management in identifying areas for improvement in service delivery, providing technical assistance, generating meaningful recommendations, and collaborating with service providers to execute continuous improvements that meet the needs of individuals with developmental disabilities.

Essential Duties and Responsibilities:

• Administers detailed evaluations of programs and service providers to assess their effectiveness and adherence to established standards.
• Ensures that programs comply with relevant laws, regulations, and policies related to developmental disabilities.
• Determines areas for improvement in programs and services and works with stakeholders to implement quality enhancement initiatives.
• Inspects documentation, reports, and records to providers to ensure that their needs are met in a respectful and prudent manner.
• Advocates for the rights and well-being of individuals with developmental disabilities and ensures that their needs are met in a respectful and person-centered manner.
• Analyzes data related to program outcomes, client satisfaction, and other relevant metrics to inform decision-making and continuous improvement efforts.
• Communicates with service providers, agencies, and stakeholders involved in providing services to individuals with developmental disabilities.
• Develops and provides technical assistance, training and guidance to staff and service providers on best practices, quality standards, and compliance requirements.
• Exercises professional judgment and takes immediate action in the case of abuse, neglect, and/or exploitation by following established protocols.
• Conducts interviews with individuals receiving services and provider staff in a respectful manner.
• Documents accurate review findings and generates reports based on the results.

To perform the job successfully, an individual should demonstrate the following competencies:

• Business Expertise- Basic understanding of how own department integrates within the Business Area.
• Problem Solving- Uses judgment based on the analysis of information.
• Nature of Impact- Direct impact by ensuring the quality of the tasks/services/information provided by self and others.
• Area of Impact- Primarily on an department.
• Interpersonal Skills- Developed communication and diplomacy skills used to direct/persuade/influence others.
• Leadership- Mentors junior team members.
• Functional Knowledge- In-depth understanding of concepts and principles in own discipline and basic knowledge of these elements in other disciplines.
• Project Management- Senior project/program team member responsible for work flow which is varied in nature with situations frequently requiring new solutions.

Education (education can be substituted for experience):

• Minimum Bachelor's Degree
• Must meet the criteria to be a Developmental Disabilities Professional (DDP) and Qualified Intellectual Disabilities Professional (QIDP)

Work Experience (experience can be substituted for education)

• Minimum of 5-7 years experience
• Minimum of 8-11 years experience preferred
• Familiarity with the Intellectual/Developmental Disabilities best practices and standards preferred
• Experience with continuous improvement initiatives and quality assurance programs preferred
• Previous experience in human services field, healthcare, or related industries is highly desirable

Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.