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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in regulatory compliance, quality assurance, and data analysis within healthcare operations, particularly in behavioral health and substance use disorder settings. Proficient in managing audits, corrective action plans, and ensuring adherence to Medicaid reporting requirements.
Highest-signal resume keywords
Regulatory ComplianceQuality AssuranceData AnalysisEHR SystemsCorrective Action Plans
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data ManagementDocumentation ProficiencyAudit PreparationTrend AnalysisProcess Improvement
Soft Skills
Organizational SkillsCommunication SkillsProblem-Solving SkillsDetail-OrientedSelf-Starter
Tools & Technologies
EHR SystemsReporting Tools
Certifications & Qualifications
AOD CertificationDUI Program Licensing
Industry Keywords
Behavioral HealthSubstance Use DisorderMedicaid ReportingQuality ImprovementTelehealth Services
About the role
Key responsibilities & impact- Coordinate on-time licensing, certification, and regulatory submissions
- Prepare for and ensure timely submissions for audits and external quality reviews
- Manage state and county reporting requirements, including timeliness reporting
- Monitor EHR reports and ensure data accuracy, completeness, and compliance
- Reconcile county reports and analyze data to identify trends, risks, and improvement opportunities
- Prepare for and respond to county program audits, site reviews, chart reviews, and focus reviews
- Develop and implement Corrective Action Plans (CAPs) by required deadlines to address findings and concerns
- Monitor CAP implementation for sustained improvements
- Support process improvement and quality assurance initiatives across programs
- Monitor audit and submissions schedule and ensure timely responses
- Analyze data and reporting trends to identify risks, gaps, and opportunities for improvements
- Support quality assurance and compliance initiatives across programs for continuous improvement
- Work closely with program management, leadership, and the Quality Assurance/Management team
- Coordinate with local and/or state partners for successful program auditing and monitoring
- Handle external compliance audits, including writing responses and gathering materials
- Update policies and procedures and support internal peer review processes
- Report to Recover's Head of Administration
Requirements
What you’ll need- 2+ years of experience in compliance, quality assurance, healthcare operations, behavioral health, or a related field
- Strong understanding of regulatory compliance, audits, corrective actions, facility licensing, and certification processes
- Experience analyzing data, validating information, and translating findings into actionable recommendations
- Proficiency with complex documentation and reports
- Experience with EHR systems, reporting tools, and data management processes
- Strong organizational, communication, and problem-solving skills with the ability to manage multiple priorities
- A proactive, detail-oriented approach and a commitment to quality and accountability
- Comfortable working independently
- Self-Starter
- Experience in a government or publicly funded substance use disorder (SUD), behavioral health, or community healthcare setting
- Familiarity with various substance use services related regulatory mandates
- Familiarity with SMHS, DMC-ODS, CalOMS, DATAR, timeliness, network adequacy and other Medicaid reporting requirements
- Familiarity with Medi-Cal and Drug Medi-Cal Certification, AOD Certification, DUI Program licensing and other behavioral health program administrative mandates
- Experience supporting telehealth services
- Background in quality improvement, process optimization, or performance management
- Understanding of data analysis, validation, and reporting methodologies
- Lived experience with substance use recovery and/or the criminal justice system
Benefits
Comp & perks- Health Care Plan
- Paid Time Off (Vacation, Sick & Public Holidays)
- Training & Development
