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Options for Southern Oregon • Grants Pass, Oregon, United States
Role & seniority
Stack / tools
Data systems, reporting, and tracking
Microsoft Office (Excel)
Electronic Health Record (EHR) system
Data collection and chart review processes
Top 3 responsibilities
Gather data, generate reports for QA work plan; prepare monthly activity reports (work plan, surveys, complaints, credentialing, utilization reviews, chart compliance)
Conduct data entry and tracking across multiple data systems; coordinate with QA team, management, and staff
Review internal chart audits, communicate findings to managers, coordinate with outside subcontractors, track incidents and authorizations
Must-have skills
Excellent attention to detail and strong organizational ability
Ability to multitask, prioritize, and meet deadlines under supervision
Proficiency with MS Office (especially Excel); able to learn EHR system
Able to work independently, travel between sites, and pass background and DMV checks
Nice-to-haves
Degree or certification in technical, health, or business field
Knowledge of Medicaid/insurance systems
Experience with policy/procedure development, meeting minutes, and form creation
Location & work type
Location: Southern Oregon area; in-person work with occasional travel between sites
Schedule: Monday–Friday, 8:00 AM–5:00 PM
Benefits note (non-essential to role summary)
Remote work not available in Ohio, North Dakota, California, Hawaii, or Wyoming.
Schedule: Monday-Friday 8AM-5PM
Overview
The Quality Assurance Associate assists Options to maintain a Quality Assurance System which meets the conditions of the CCO, State Contracts and Medicaid/Medicare. The QA Associate works to facilitate communication between the Quality Assurance Team, Options Management and Staff and/or other parties to coordinate quality assurance activities. The Quality Assurance associate help to data gather and ensure Options is meeting its targeted bench marks associated with compliance. This position is detail oriented and requires data base tracking, reports writing and the ability to multi-task.
Responsibilities
Works with the Quality Assurance team to gather data and provide appropriate reporting for the QA work plan.
Provides data entry and other tracking responsibilities in multiple data systems.
Reviews or assists with internal chart review process, compiles data and reports findings to quality assurance team. Communication with managers around chart audit findings and compiling completed documents.
Works with outside subcontractors on authorizations and care coordination.
Tracks incident reports and critical incidents.
Provide initial UR authorizations, enter and track authorizations as indicated.
Working with the assurance team to develop forms, review policies and procedures, maintaining agendas for and taking minutes for meetings.
Prepares monthly activity reports, including but not limited to, reports on work plan activity, consumer survey results, agency feedback, complaint activity, credentialing, critical incidents, utilization review reports, chart compliance, access to services and dual diagnosis and special needs populations.
Coordinates data collection and outlines timeframes/reporting requirements for contract deliverables.
Communication with other agency teams, including management and executive team members.
Candidate must be able to work independently and flexibly, under general supervision while maintaining a high degree of accuracy.
Travels between sites.
Qualifications
Degree or certification in a technical, health or business related field preferred. Knowledge and understanding of the Medicaid/Insurance system a plus. Excellent attention to detail and organizational ability, in order to set priorities, organize workload, handle multiple responsibilities, and meet deadlines from a variety of people.
Candidates must be able to use e-mail, compose documents, save and locate documents electronically, and learn to use our Electronic Health Record (EHR) system. Possess business experience sufficient to meet the demands of the position, including demonstrated proficiency with a variety of software applications including MS Office, including Excel.
Must pass state-required background and DMV checks. Candidate must be able to work independently and flexibly, under general supervision.
Options for Southern Oregon provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.