Quality & Compliance Specialist

Acumen Fiscal Agent

. Maintain detailed understanding of all current AFA contracts, provider manuals, policies, and applicable State and Federal regulations .

Posted 10/9/2026full-timeMesa • Arizona • United StatesJuniorMid-Level💰 $55,000 - $65,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in quality compliance, auditing, and healthcare administration, with a strong focus on Medicaid programs and regulatory requirements. Proficient in project management, data analysis, and effective communication to support organizational compliance and quality improvement initiatives.

Highest-signal resume keywords

Quality Compliance ManagementMedicaid Regulations KnowledgeAudit CoordinationProject ManagementData Analysis

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality ComplianceAuditingRegulatory ReportingCorrective Action PlansData AnalysisPolicy DevelopmentProcess ImprovementHIPAA ComplianceContractual ComplianceHealthcare Administration

Soft Skills

Analytical SkillsProblem-Solving SkillsOrganizational SkillsAttention to DetailCommunication Skills

Tools & Technologies

Microsoft OfficeAcumen-Specific Systems

Industry Keywords

Healthcare ComplianceMedicaid ProgramsQuality ImprovementSocial ServicesManaged Care

About the role

Key responsibilities & impact

Maintain detailed understanding of all current AFA contracts, provider manuals, policies, and applicable State and Federal regulations
Serve as a subject matter resource regarding contract compliance, program requirements, and quality assurance processes
Act as a liaison between Program Managers, Executive Directors, Operations teams, and other departments to resolve compliance concerns, contractual issues, audit findings, and operational risks
Assist with implementation and oversight of quality compliance programs, systems, and initiatives across the organization
Coordinate and oversee internal and external audits, Requests for Information (RFI), subpoenas, surveys, and regulatory reviews
Facilitate cross-department collaboration to compile accurate and timely audit documentation while maintaining compliance with HIPAA and contractual requirements
Review audit findings, identify trends and risks, and provide recommendations to leadership to support quality improvement initiatives
Monitor and oversee complaint tracking, investigations, trending analysis, and escalation processes
Support departments in developing and implementing corrective and preventative action plans
Research, analyze, and communicate changes in legislation, regulations, contracts, and program requirements
Assist with development, implementation, and maintenance of policies, procedures, forms, reporting tools, and internal controls

Requirements

What you’ll need

Bachelor’s degree in public policy, Social Sciences, Business Administration, Healthcare Administration, or related field; or equivalent combination of education and experience
Minimum of 2 years of experience in quality compliance, auditing, healthcare administration, Medicaid programs, or related field
Previous experience coordinating audits, compliance reviews, corrective action plans, or regulatory reporting activities
Knowledge of Medicaid, State, and Federal regulations and contractual compliance requirements
Strong project management, organizational, analytical, and problem-solving skills
Ability to manage multiple priorities and deadlines with limited supervision
Excellent written and verbal communication skills
Strong attention to detail and ability to maintain confidentiality
Experience using Microsoft Office applications including Word, Excel, Outlook, and PowerPoint
Ability to learn and become proficient in all Acumen-specific systems and programs
Valid driver’s license within state of residence and valid automobile insurance
Preferred: Experience conducting Medicaid audits and regulatory reviews
Preferred: Experience with quality improvement methodologies and process improvement tools
Preferred: Knowledge of HIPAA requirements and healthcare compliance standards
Preferred: Experience analyzing data, identifying trends, and presenting findings to leadership
Preferred: Experience developing or facilitating staff training programs
Preferred: Previous experience in social services, healthcare operations, or managed care environments