Quality Assurance Coordinator-Associate

Job description

The Quality Assurance Auditor – SUD is responsible for planning and conducting regulatory and contractual compliance audits of providers delivering substance use and related disorder services across the State of Texas. This role verifies adherence to Health and Human Services (HHS/HHSC) requirements, contractual Statements of Work (SOWs), applicable Texas Administrative Code (TAC) provisions, and internal policies. The auditor drives quality improvement by tracking performance metrics, completing comprehensive reports, presenting findings, and partnering with providers on corrective action and sustainability. Education and Experience: Highschool Diploma/GED plus 6 years of experience in lieu of Bachelor’s degree requirement OR Bachelors Degree and 2 years of experience. Bachelor’s degree in Healthcare Administration, Social Work, Public Health, Nursing, Behavioral Health, or related field is preferred Two (2) years ’ experience in healthcare quality, compliance/audit, utilization review, case management, or related function; SUD program experience strongly preferred. Job Duties: Traveling: 30–50% statewide travel across Texas, including driving and flying to provider locations. Tra...