Quality Auditor

Description

Leidos Health & Civil Sector is seeking a highly motivated and experienced Quality Auditor to join our team. This position directly supports programs which provide a broad array of information, resources, referrals, mental health coaching and specialized support for military members and their families worldwide. These programs are directly responsible for supporting military community quality of life issues.

This job posting is in anticipation of future work It does not currently represent a funded opening. Reponses to your application may be delayed.

Under the guidance and direction of the Auditing Manager, the Quality Auditor implements established approach for measuring performance goals, program outcomes, indicators, and sources of data that ensure broad-based support and high-quality service delivery across the program. Monitors, measures, and tracks program deliverables against established SLA's for performance and outcomes measurement as outlined in the Quality Management Plan. Gathers, reviews, consolidates, and evaluates all program service delivery information focusing on key quality factors including appropriateness, effectiveness, successful outcomes; and any or all the dimensions of quality such as accessibility, availability, efficiency, continuity, safety, timeliness, and respectfulness consistent with Council on Accreditation (COA) or Utilization Review Accreditation Commission (URAC) Performance Indicators.

• Conducts quality audits of Contact Center support to include Contact Center Triage Consultants and Specialty Consultants on all program performance measures and key performance indicators (KPIs).
• Identifies, and submits patterns, trends, and recommended remedies to the Auditing Manager, resulting from all performance data reviewed and evaluated.
• Engages across the program to provide feedback and corrective actions on the quality of program deliverables ensuring all data captured is accurate, complete, and submitted within the prescribed timeframe or frequency, and meets all performance standards.
• Escalates any pattern in lack of presence, clarity, quality, and continuity of service delivery.
• Accesses the government eCMS as part of auditing.

• Master's degree from an accredited graduate program in a behavioral health related field such as social work, psychology, marriage/family therapy, or counseling with 2+ years of prior relevant experience or a Bachelor's degree from an accredited college or university in a behavioral health related field such as social work, psychology, marriage/family therapy, or counseling and enrolled in an accredited graduate program and 4+ years of relevant work experience completing quality audits in the mental health field.
• Experience in implementing, monitoring and reporting on quality issues in accordance with the Council on Accreditation (COA) or Utilization Review Accreditation Commission (URAC) Performance and Quality Improvement (PQI) standards.
• Strong analytical thinking, math and data analysis skills. Attention to detail and critical thinking. Must be a self-directed, independent worker
• Strong customer service skills, knowledge of call center operations, and knowledge and understanding of military lifestyle and culture.
• Proven proficiency in: Microsoft based tools including Word, Outlook, Excel; web based research; electronic documentation systems
• U.S. citizen and ability to speak fluent English.
• Ability to pass a criminal history and fingerprint background checks, and credential review/verification.

• Veteran/military experience, wounded warrior, and/or military spouse
• Experience working with and/or for military communities.
• Employee assistance program (EAP) or call center experience.