Quality Assurance Analyst – Medical Facility Surveys

🔥 0 minutes ago

⚔️ Virginia, West Virginia – Remote

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⏰ Full Time

🟢 Junior

🟡 Mid-level

🔧 QA Engineer (Quality Assurance)

👻 Ghost score 12%

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Logo of Healthcare Management Solutions, LLC

Healthcare Management Solutions, LLC

51 - 200 employees

Founded 2002

🏥 Healthcare

🏛️ Government

💼 Consulting

Healthcare • Government • Consulting

Healthcare Management Solutions, LLC is a U. S. -focused healthcare services firm that partners with federal and state agencies and non-profit healthcare organizations to advance healthcare quality, safety, and access. For 20 years it has supported the Centers for Medicare & Medicaid Services (CMS) and, since 2014, has worked with more than half of U. S. states through direct contracts with state health agencies. Its offerings include health facility surveys (inspections), state operations support, health insurance marketplace compliance and payment model work, medical record review, and information technology solutions. The company also highlights collective employee ownership and collaboration with prime and subcontractor partners.

📋 Description

• Review, format, and edit Form CMS 2567s (Statements of Deficiencies) prepared by surveyors • Use CMS data applications, including ASPEN data reporting and retrieval systems, to facilitate survey documentation exchange • Check ASPEN data for formatting, accuracy, grammar, and spelling • Ensure survey documents submitted to CMS, Regional Offices, state agencies, or other external agencies meet requirements • Assess individual surveyor citation patterns, performance, and inter-rater reliability • Collect and analyze Quality Assurance Performance Improvement data • Identify improvement indicators and discuss change alternatives with OSP staff • Assist with implementing new methodologies to improve survey processes and surveyor performance • Monitor changes, analyze outcomes, and report results • Assist with training survey staff using CMS-approved materials and updates • Evaluate surveyor performance and support retraining when needed • Ensure Form CMS 2567s are submitted to CMS within 5 business days of the exit interview • Notify CMS when extensions are appropriate and coordinate documentation review with survey team leaders • Maintain communication with surveyors and attend pre- and post-survey conference calls • Solicit and analyze surveyor feedback on CMS training programs and prepare written summaries for monthly CMS reports • Assist CMS in analyzing survey findings to identify training, program clarification, or provider re-education needs • Attend CMS-related conference calls and participate in surveys as directed

🎯 Requirements

• Registered Nurse, Licensed Dietitian, Licensed Social Worker, or Generalist with at least 2 years of experience as a health care facility surveyor • Knowledge of and experience with Quality Assurance Performance Improvement • Educator experience • Familiarity with federal regulations related to Medicare and Medicaid requirements for health care providers • Strong grammar and writing skills • Valid driver's license that must be possessed and maintained • Attend CMS annual surveyor training and subsequent required trainings • Participate in surveys as directed

🏖️ Benefits

• Equal opportunity and affirmative action employment practices • EEO/AA/E-Verify compliant workplace • Drug-free workplace

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