JOB
The Quality Assurance Risk Management Coordinator role with the Department of Human Services offers you the chance to make a real impact on behavioral health services across Pennsylvania. This position helps strengthen oversight, improve service quality, and support positive outcomes for individuals who rely on Medicaid behavioral health programs. It is a meaningful career path for someone who wants to support strong systems and better access to care!
EXAMPLE OF DUTIES
This position helps ensure that Medicaid Behavioral Health services are delivered with quality, consistency, and accountability across the HealthChoices program. It involves reviewing data, evaluating program practices, and supporting quality improvement efforts. As a Quality Assurance Risk Management Coordinator, you will perform the following duties:
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Compliance Reviews: Review contractor operations and documentation for alignment with state and federal requirements
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Performance Evaluation: Assess quality management plans, evaluations, and program descriptions to confirm benchmarks and standards are met
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Risk Identification: Identify service delivery risks through review of complaints, grievances, and service denial decisions
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Onsite Audits: Lead onsite reviews with program partners to examine service quality, access, and adherence to medical necessity
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Collaboration Work: Coordinate with internal teams and external partners to advance quality initiatives and improve behavioral health outcomes
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Data Reporting: Analyze submissions and prepare written and statistical reports that highlight trends and support decision making
Interested in learning more? Additional details regarding this position can be found in the position description.
Work Schedule and Additional Information:
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Full-time employment
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Work hours are 8:00 AM to 4:30 PM, Monday - Friday, with a 60-minute lunch.
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Telework: You may have the opportunity to work from home (telework) part-time. You will be required to report to 303 Walnut Street Harrisburg, PA 17101, as listed in this posting two
days per week. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time. Additional details may be provided during the interview. -
Salary: In some cases, the starting salary may be non-negotiable.
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You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.
SUPPLEMENTAL INFORMATION
- Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
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Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
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Your score is valid for this specific posting only.
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You must provide complete and accurate information or:
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your score may be lower than deserved.
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you may be disqualified.
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You may only apply/test once for this posting.
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Your results will be provided via email.
