Quality Assurance & Compliance Analyst

Benefits :

401(k)

Dental insurance

Health insurance

Paid time off

Vision insurance

Quality Assurance & Compliance Analyst

Remote

Degree Required : Nope! (Experience matters more)

Ensure Excellence, Safeguard Compliance

At Moms In Motion, our Quality Assurance & Compliance Analyst is the guardian of integrity. You'll dive deep into policies, audits, and DMAS Medicaid waiver regulations to make sure our services are not only top-notch but also fully compliant. Your work protects the organization, supports our teams, and ensures the families we serve continue to receive safe, high-quality care.

What You'll Do

• Conduct regular and targeted audits of case files, billing, and service delivery to ensure compliance with Medicaid waiver and DMAS regulations
• Develop and maintain monitoring tools, checklists, and audit logs
• Identify compliance gaps or risks and recommend appropriate corrective action plans
• Interpret DMAS provider manuals, memos, and regulatory updates
• Track regulatory changes and communicate implications to leadership and relevant teams
• Collaborate with internal teams to ensure policies, procedures, and practices remain compliant with evolving DMAS regulations
• Stay current on federal and state medicaid regulations, DMAS manuals, and healthcare compliance best practices.
• Handle documentation and internal response for critical incident reports and suspected fraud or abuse
• Work with appropriate departments to address incidents, ensuring proper resolution and reporting
• Prepare written summaries and compliance reports for leadership, including audit findings, trends, and recommendations
• Maintain organized records of audit results, remediation plans, and compliance activities
• Monitor adherence to HIPAA and confidentiality standards
• Provide guidance and training to staff on Medicaid waiver regulations, documentation standards, and compliance requirements
• Support preparation for external audits or monitoring visits from DMAS or other entities
• Uses care and discretion when handling personal information and client records
• Participates in required company calls, team meetings, and ongoing compliance training

What We're Looking For

3+ years in compliance, auditing, or quality assurance (Medicaid waiver, healthcare, human services, or legal setting).

In-depth knowledge of DMAS Medicaid waiver regulations and provider manuals - HUGE PLUS!

Strong analytical and auditing skills with excellent attention to detail

Excellent verbal and written communication skills, with the ability to translate regulatory language into clear, actionable guidance

Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint), Google Workspace, and electronic health / record systems=

Ability to handle sensitive information with confidentiality and integrity

Able to pass a background check + provide 2 professional references.

• Bonus points : Experience with DMAS compliance audits or a compliance / QA certification.

Perks & Benefits

We've got you covered with :

• Paid Training (we set you up for success!)
• PTO
• 11 Paid Holidays
• Medical, Dental & Vision Insurance
• Disability, Life, and AD&D-company paid!
• 401K with Employer Match
• EAP & Telemedicine Access
• Flexible Spending Accounts & Dependent Care Options
• Supplemental Insurance (Accident, Cancer, Critical Care & more)
• Annual Tech Stipends
• Fun Employee Perks (discounts on car rentals, Verizon, AAA, oil changes & more!)

Analytical. Ethical. Detail-driven

If that sounds like you → Apply today at www.momsinmotion.net !

This is a remote position.

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status sexual orientation, pregnancy, childbirth or other related conditions (including lactation), age (over 40), marital status, disability or gender identity.

Moms In Motion

Our Mission

Moms in Motion (Moms) is a Service Facilitation provider for Medicaid CD-PAS (CCC Plus, CL & FIS Waivers, EPSDT program) enrollees. Our mission is to enhance the outcome for all of our clients and their families, by using person-centered practices while providing superior service, sharing resources, continually expanding our knowledge, and networking. We achieve this through leveraging our passion, talent, and experience to lead others to the answers, help, and hope for which they are looking. Our primary areas of growth will be advocating in the school systems for our younger clients, assisting young adults with transitioning to independence, and helping our aging clients to be cared for by the people who love them.

Our Vision

To provide superior Person Centered Service Facilitation for Medicaid CD-PAS and FIS Waiver enrollees throughout the state of Virginia. Learning from a multitude of resources including our clients and sharing what we learn with others.

Moms In Motion's Culture Points, ACES

A = Advocacy - Empowerment and education bringing people together for positive change.

C = Compassion - Effective and caring partnership with you on your journey through our unique perspective.

E = Excellence - Excellence in everything we do.

S = Service - Through Advocacy, Compassion, and Excellence, we provide superior person-centered service.

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