Remote Risk Investigator Jobs in Pennsylvania (NOW HIRING)

Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do.We are seeking aQuality Assurance Risk Managerto join our team supporting our programs in California.

Salary Range: $70,304-$75,000 depending on experience.

This is a Hybrid-Remote position with up to 50% travel required to:

• Sacramento, CA and surrounding areasor
• San Diego, CA and surrounding areas

Position Details:
The Quality Assurance Risk Manager is responsible for identifying, analyzing, and mitigating potential risks that could impact on the organization's financial health, reputation, and operational efficiency. This role involves using analytical skills and tools to forecast and manage risks, ensuring compliance with regulatory requirements.

The Quality Assurance Risk Manager will also:

• Directly interface with Payers/State Agencies in response to and in resolution of measurement-based care. Serve as primary contact for program management.
• Aggregate and analyze data from payer Value Base/Quality Incentive Program, indicators, investigations, audits, corrective action plans, licensing inspection surveys, serious incidents, staffing, etc., to identify systemic concerns, trends and make value added recommendations for focused quality improvement efforts.
• Ensure regulatory compliance with quality system procedures, complaint handling, satisfaction survey, safety, and adverse events reporting.
• Serve as Project lead for assigned activities from the quality and risk management plan; delegate and assign project tasks and cases to team members.
• Coordinate with team supervisor/managers on initial assignment of development and follow up for implementation of improvement processes.
• Conduct risk screening/assessments, investigations, and root cause analysis.
• Support the development and implementation of improvement plans in response to identified risk areas.
• Assist in the development of the annual Quality Assurance Risk Management Plan.
• Facilitate Quality/Risk Management meetings & discussion with members of program management relative to quality improvement initiatives.
• Assist with the completion of safety inspection at least annually of each service location owned, rented, or leased by the provider.
• Assist in the development of technology infrastructure to support the Quality Management Process.
• Attend cross training for quality/risk improvement functions.

Benefits

Merakey offers generous benefits that promote well-being, financial security, and work-life balance, including:

• Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support.
• Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions.
• DailyPay -- access your pay when you need it!
• On the Goga well-being platform, featuring self-care tools and resources.
• Access Care.com for backup childcare, elder care, and household services.
• Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP).
• Tuition reimbursement and educational partnerships.
• Employee discounts and savings programs on entertainment, travel, and lifestyle.
• Access to Pryor Online Learning for free online personal development classes.

Learn more about our full benefits package - https://www.merakey.org/careers/benefits

About Merakey

Merakey is a non-profit provider of developmental, behavioral health, and education services. More than 8,000 employees provide support to nearly 40,000 individuals and families throughout 12 states across the country each year. Click here to watch a video about Merakey. Merakey strictly follows a zero-tolerance policy for abuse.

Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply. Merakey welcomes all Veterans to apply!

• Bachelor's degree in human services and/or equivalent experience and/or training required.
• 1-3 years of experience in quality improvement/Assurance/Risk Management required.

The ideal candidate will possess:

• Minimum one year of supervisory or managerial experience.
• Experience in data collection, analysis and interpretation is required.
• Knowledge of regulations, internal policies, and the various services provided by Merakey.
• Able to work within tight timeframes to provide appropriate responses and feedback to program or payers.
• Capabilities to multi-task and prioritize multiple assignments.