Quality Assurance Manager
Location: San Francisco
Salary: $80K (exempt)
Direct Hire | Hybrid
Key Responsibilities
- Lead quality assurance and quality improvement initiatives to ensure regulatory compliance across behavioral health programs.
- Monitor compliance with licensing, accreditation, and payer requirements (e.g., HIPAA, Medi‑Cal, Joint Commission, state and county agencies).
- Oversee incident reporting processes, including review, feedback, and preparation of required leadership and board reports.
- Conduct internal chart audits and support external audits, peer review, and utilization review activities.
- Partner with clinical, operations, IT, and finance teams to support accurate documentation, billing, authorizations, and data integrity.
- Provide training, guidance, and consultation to clinical staff and leaders on documentation, compliance, incident reporting, and billing standards.
- Ensure HIPAA and privacy compliance related to clinical records and information requests.
- Collaborate cross‑functionally and with external partners to respond to regulatory requests and support continuous quality improvement.
Qualifications
- Prior experience in behavioral health quality management, regulatory compliance, or utilization review
- Strong understanding of Medi‑Cal and Joint Commission requirements related to behavioral health services, documentation, and billing
- Comfortable working with county and regulatory partners and leading cross-functional initiatives
- Excellent written and verbal communication skills
- Highly organized, analytical, and detail-oriented
- Willingness to be a hands-on supervisor (may include functional or project-based oversight)
- Demonstrated cultural sensitivity and ability to work with diverse populations
- Proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook) and electronic data/reporting systems
Search managed by: Carly Dilworth
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www-uat.lhh.com/us/en/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
- The California Fair Chance Act
- Los Angeles City Fair Chance Ordinance
- Los Angeles County Fair Chance Ordinance for Employers
- San Francisco Fair Chance Ordinance
