Top 105 Quality assurance specialist Jobs in Rockville Md

Clinical Quality Improvement Specialist
Universal Support Agency —Washington, DC
- From $30 an hour
- Part-time
- Hybrid work
- Microsoft Word
- LPC
- Psychology
Quick Apply
3d
Quality Assurance Specialist
Technical Resources International, Inc. —Bethesda, MD
- Full-time
- Mid-level
- Bachelor's degree
- Continuous improvement
Quality Assurance Specialist 3
Merck KGaA —Rockville, MD
- $70,800 - $106,200 a year
- Mid-level
- Mentoring
- US work authorization
- Health insurance
- Paid time off
Quality Specialist 1
Merck KGaA —Rockville, MD
- $28 - $43 an hour
- Computer Science
- Bachelor's degree
- US work authorization
- Health insurance
- Paid time off
2d
Quality Assurance Specialist
TECHNICAL RESOURCES INT'L —Bethesda, MD
- Full-time
- Mid-level
- Continuous improvement
- Communication skills
Quality Assurance Specialist (GCP/GLP)
Pharmaron —Germantown, MD
- Full-time
- Mid-level
- Bachelor's degree
- Communication skills
Quick Apply
Quality Assurance Specialist Records Management
Koniag Government Services —Silver Spring, MD
- Full-time
- High school
- PMP
- Mid-level
- Paid holidays
- Health insurance
Data Product & Quality Specialist
Accenture Federal Services —Suitland, MD
- $105,100 - $115,400 a year
- Mid-level
- SQL
- Analysis skills
9d
Clinical Quality Performance Specialist Senior
Amerihealth Caritas —Washington, DC
- $92,200 - $125,600 a year
- Full-time
- Nursing
- RN License
- 5 years
- Disability insurance
- Health insurance
HELP DESK MANAGER (MAC SPECIALIST / QUALITY ASSURANCE) - Top Secret clearance
General Dynamics Information Technology —Washington, DC
- $107,744 - $126,500 a year
- Bachelor of Science
- English
- Mid-level
- Paid holidays
- On-the-job training
Cybersecurity Quality Assurance & Documentation Specialist
RCG Inc —Suitland, MD
- $105,000 - $120,000 a year
- Full-time
- Hybrid work
- 6 years
- Mid-level
- Organizational skills
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Junior Quality Assurance Specialist
Absolute Business Solutions Corp —Alexandria, VA
- $70,000 - $90,000 a year
- 8 hour shift
- Mid-level
- 3 years
- Analysis skills
- Paid time off
- 401(k) matching
Quality Assurance Specialist
Interclypse, Inc. —Annapolis Junction, MD
- Full-time
- Computer Science
- Mid-level
- 3 years
- Paid jury duty
- Health savings account
Acquisition Quality Assurance Specialist
Hive Group LLC —McLean, VA
- $85,000 - $100,000 a year
- Email
- Hybrid work
- Google Workspace
- Finance
- Analysis skills
- Paid holidays
- Disability insurance
Quick Apply
Quality Assurance Specialist
Orbis, Inc. —Washington, DC
- Computer Science
- Bachelor of Science
- Bachelor's degree
Quality Assurance Specialist - Washington D.C
Verida Inc —Washington, DC
- Mid-level
- High school diploma or GED
- Communication skills
Quick Apply
7d
Quality Assurance Specialist (MDR)
HEITECH SERVICES —Landover, MD
- Hybrid work
- Customer service
- Mid-level
- Office
Quick Apply
Quality Assurance Specialist
C2 Technologies —Arlington, VA
- $50,000 - $100,000 a year
- Hybrid work
- Mid-level
- 2 years
- Paid holidays
- Disability insurance
Quick Apply
Quality Assurance Specialist L2
Koniag Government Services —Washington, DC
- Full-time
- Customer service
- Project management
- Bachelor's degree
- Paid holidays
- Health insurance
Quality Assurance Specialist
Transportation, District Dept —Washington, DC
- $93,069 - $119,916 a year
- Full-time
- Computer Science
- Construction site
- Office
- Flexible schedule
- Life insurance
9d

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Clinical Quality Improvement Specialist

Universal Support Agency
Washington, DC

Quick Apply

Job Details

Part-time
From $30 an hour
3 days ago

Qualifications

Microsoft Word
Performance dashboards
Teamwork
Defect resolution root cause analysis
Presentation software
Interpersonal skills
Spreadsheets
Word embeddings
Technical writing experience within healthcare
Presentation preparation
Document quality checks
Medicaid regulations
Medicaid
Quality audits
Root cause analysis
Clinical documentation standards
Cross-functional collaboration
Content review
Cross-functional communication
Medical record review for billing accuracy
Excel data analysis
Interpersonal communication

Full Job Description

The Clinical QI Investigative Specialist executes the clinical quality assurance, risk management, and investigative operations at Universal Support Agency (USA). This role ensures that all Mental Health Rehabilitation Services (MHRS) comply with DC Department of Behavioral Health (DBH) regulations, federal guidelines, and clinical best practice standards. The Specialist investigates critical incidents, resolves consumer grievances, audits clinical charts for medical necessity and diagnostic accuracy, and documents Corrective Action Plans (CAPs) to elevate the standard of care and mitigate organizational and regulatory risk. This role collaborates and reports to the Quality Improvement Director.

***MUST HAVE A CLINICAL LICENSE IN SOCIAL WORK OR PSYCHOLOGY***

Essential Duties

1. Investigations & Incident Management

Lead investigations into Major Unusual Incidents (MUIs), critical incidents, sentinel events, consumer deaths, and allegations of abuse or neglect, applying clinical judgment to determine whether care met the standard of practice, and submitting findings and recommendations for internal leadership review.
Conduct Root Cause Analyses (RCA) and Enhanced RCAs to trace adverse outcomes to their clinical or systemic root cause, escalating to the QI Director any findings that indicate a systemic, cross-provider, or organizational risk pattern (e.g., backdating trends, recurring diagnostic mismatch).
Author investigative reports with documented findings, clinical conclusions, and actionable recommendations suitable for DBH, DHCF, or internal leadership review, in collaboration with the QI Director on final content and distribution.
Manage clinical grievances, evaluating whether complaints about treatment, diagnosis, or care delivery have clinical merit, documenting resolution within DBH timeliness standards, and submitting clinical grievance resolutions to the QI Director for final documentation review prior to closure.
Executes and monitor Corrective Action Plans (CAPs), addressing root clinical causes (e.g., scope-of-practice violations, diagnostic inconsistency, under-treatment), in collaboration with the QI Director.

2. Clinical Auditing & Quality Assurance

Conduct routine medical necessity chart audits (e.g., CPT 90791, 90792, 99215, H0036) against DSM-5 criteria and CMS guidelines to verify medical necessity and clinical appropriateness of billed services, using quality improvement methodologies.
Monthly review of diagnostic accuracy of clinical documentation to confirm diagnoses are clinically substantiated by presenting symptoms and assessment data, reporting findings for inclusion in departmental QI reporting.
Facilitate Clinical Peer Review evaluating documentation quality, treatment plan soundness, and clinical decision-making across providers, in accordance with Peer Review policy and submitting session outcomes for departmental reporting.
Track and clinically interpret utilization trends, interpreting drivers such as under-treatment, misdiagnosis, access to care timeliness, or wrong level of care, and briefing the QI Director and internal leadership on trends relevant to agency-wide performance reporting.

3. Regulatory Compliance & Training

Collaborate with to Conduct agency-wide mandated training reinforce standards of care.
Maintain current knowledge of changing DC local law, federal regulation, and DBH Chapter 34 policy updates, assessing operational impact on clinical practice and briefing the QI Director on any needed policy revisions.
Serve as the Clinical lead in internal peer review, CAP follow up, reporting clinical risk findings to the QI Director.

Qualifications

Clinical & Regulatory

Active, unrestricted DC clinical license: LGSW, LICSW, or LPC.
Working knowledge of 22-A/22-B DCMR Chapter 34, DC Medicaid (DHCF) billing standards, and MHRS service definitions.
Demonstrated experience with chart auditing, RCA methodology, and clinical documentation review.
Strong investigative report writing with defensible, evidence-based findings.
Ability to work independently and collaboratively with QI, HR, Program and Clinical leadership on sensitive personnel and compliance matters.
***MUST HAVE A CLINICAL LICENSE IN SOCIAL WORK OR PSYCHOLOGY***

Technical & Communication Skills

Advanced Microsoft Excel skills, developing pivot tables, formulas, and dashboards to track audit findings, performance thresholds, and trend data.
Proficiency in Microsoft PowerPoint to build clear, professional presentations for multiple audience reporting.
Strong Microsoft Word skills
Excellent written and verbal communication skills, with the ability to communicate sensitive or adverse findings clearly, tactfully, and persuasively to staff, providers, and leadership.
Strong interpersonal skills for cross-departmental collaboration and the judgment to know when to escalate versus resolve independently.

Pay: From $30.00 per hour

Application Question(s):

Do you have an active Clinical License in Social Work or Psychology?

Work Location: Hybrid remote in Washington, DC 20003

Quick Apply

Refine Your Search

quality assurance specialist jobs in rockville md

Clinical Quality Improvement Specialist

Quality Assurance Specialist

Quality Assurance Specialist 3

Quality Specialist 1

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Quality Assurance Specialist (GCP/GLP)

Quality Assurance Specialist Records Management

Data Product & Quality Specialist

Clinical Quality Performance Specialist Senior

HELP DESK MANAGER (MAC SPECIALIST / QUALITY ASSURANCE) - Top Secret clearance

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Quality Assurance Specialist

Acquisition Quality Assurance Specialist

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