About the position This full-time position works with a dedicated team of professionals to ensure or improve the health, safety and welfare of older adults and adults with disabilities by monitoring program compliance with evolving federal statues, program rules, and other criteria. This position is responsible for collaborating with program managers, program administrators, supervisors, contracted agencies, and others in carrying out the assigned duties. This position may require travel to service provider locations to complete on-site quality assurance and compliance monitoring activities. This position reports directly to the Quality Assurance Manager.

Responsibilities

• Conduct a range of monitoring and surveillance activities to determine the Department’s compliance with Home and Community Based Services (HCBS) requirements, particularly to determine the rate of compliance with performance measures detailed in each of the HCBS programs.
• Plan and conduct program reviews in accordance with established processes and protocols, which include interfacing with community HCBS providers and/or agencies.
• Collect, review, and assess data from OADS data systems, community providers, and other sources as needed, to determine compliance with program requirements.
• Conduct data monitoring activities related to sustaining corrective action that was implemented due to federal audit findings and monitor compliance with the Reportable Events System rule (14-197 Chapter 12).
• Work cooperatively with a variety of stakeholders, including community-based providers, OADS staff, other DHHS and State offices, and other external entities.
• Use MS Excel and other electronic tools (e.g., PowerBI) to accurately record and summarize data.
• Stay current on HCBS waiver renewals, performance measures, and reporting requirements.
• Provide accurate and timely responses to data requests and other data projects.
• Participate in initiatives as assigned to support the Department’s and Office’s goals and objectives.
• Provide excellent customer service in conducting all work.
• Participate in meetings as assigned.

Requirements

• Eight (8) years of education, training, and/or experience analyzing, evaluating, and/or developing improvements to organizational and/or managerial systems, programs, and practices.
• Knowledge of Medicaid programs or other related healthcare services and the ability to determine compliance with service delivery requirements (e.g., performance measures, quality monitoring, and/or other accreditation activities).
• A demonstrated ability to obtain, review, aggregate and report on data.
• A history of utilizing Microsoft programs, particularly Excel, Sharepoint, PowerBI, Outlook and Teams.

Nice-to-haves

• A bachelor’s degree in social services or a related field
• Experience in conducting program compliance work
• Experience with quality assurance and quality improvement development of services for older adults and persons with disabilities

Benefits

• 13 paid holidays
• 12 days of sick leave
• 3+ weeks of vacation leave annually
• Health Insurance Coverage – The State of Maine pays 85%-100% of employee-only premiums
• Health Insurance Premium Credit – Participation decreases employee-only premiums by 5%
• Dental Insurance – The State of Maine pays 100% of employee-only dental premiums
• Retirement Plan – The State contributes the equivalent of 14.11% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS)
• Six weeks of fully paid parental leave for all employees who are welcoming a child—including non-birthing and adoptive parents
• Additional, unpaid leave may also be available, under the Family and Medical Leave Act