Quality Management Administrator

Solari, Inc.

. Lead and administer the H2O Quality Management Program in accordance with AHCCCS policies, H2O program requirements, contractual obligations, and organizational standards .

Posted 11/2/2026full-timeTempe • Arizona • United StatesMid-LevelSenior💰 $63,175 - $76,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in quality management, compliance monitoring, and performance improvement within healthcare programs, with a strong focus on data analysis and provider performance metrics. Capable of leading initiatives that enhance service delivery and ensure adherence to regulatory standards.

Highest-signal resume keywords

Quality ManagementCompliance MonitoringData AnalysisProvider Performance ManagementCorrective Action Planning

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality AssuranceContinuous Improvement PracticesUtilization MonitoringClaims ProcessingPerformance MeasurementData InterpretationContractual Requirement TranslationHousing First PrinciplesPermanent Supportive Housing PracticesKnowledge of AHCCCS Requirements

Soft Skills

Strong Analytical SkillsWritten CommunicationVerbal CommunicationProfessionalismBoundary Maintenance

Industry Keywords

Healthcare AdministrationPublic HealthSocial WorkHuman ServicesMedicaidQuality Improvement InitiativesHousing StabilityService DeliveryStakeholder EngagementPerformance Improvement Activities

About the role

Key responsibilities & impact

Lead and administer the H2O Quality Management Program in accordance with AHCCCS policies, H2O program requirements, contractual obligations, and organizational standards
Serve as the primary point of contact for AHCCCS, the H2O provider network, and Banner Compliance regarding quality management, compliance concerns, audits, monitoring activities, and corrective action plans
Establish and oversee monitoring and quality assurance processes for provider performance, service delivery, documentation, utilization, and program compliance
Analyze quality and compliance findings to identify trends, performance gaps, risks, and opportunities for improvement
Coordinate corrective action and quality improvement initiatives with providers, internal teams, and external compliance partners
Lead organizational readiness and follow-up activities for AHCCCS reviews, audits, and quality monitoring activities
Oversee H2O data quality processes to promote accurate, complete, and timely documentation and reporting
Monitor and analyze provider performance metrics, service utilization, housing outcomes, and quality indicators
Develop, validate, analyze, and present reports related to H2O enrollment, housing stability, service delivery, utilization, and provider performance
Partner with Quality Management Specialists, Business Analysts, the Evaluation & Impact Manager, and operational teams to identify trends, service gaps, operational risks, and improvement opportunities
Oversee provider quality monitoring and identify trends requiring education, technical assistance, or performance improvement
Coordinate education related to H2O requirements, documentation standards, billing expectations, housing care planning, and quality measures
Oversee provider corrective action plans and performance improvement activities
Serve as an escalation resource for provider quality, compliance, and service delivery concerns
Coordinate quality oversight of H2O claims, billing, reimbursement, and service authorization issues
Investigate and resolve systemic billing or claims-related concerns
Analyze claims and billing trends to identify recurring issues, compliance risks, and opportunities for process improvement
Develop guidance, workflows, and quality controls to reduce recurring issues and unnecessary escalations
Supervise, coach, and provide direction to Quality Management Specialists and other assigned H2O staff
Establish and maintain quality monitoring procedures, workflows, tools, documentation standards, and accountability measures
Facilitate collaboration among Quality Management, Provider Support, Operations, Claims, Compliance, Business Analytics, and Evaluation & Impact
Lead quality-related meetings, provider reviews, performance discussions, and stakeholder engagement activities
Drive continuous quality improvement initiatives focused on housing stability, member outcomes, provider performance, compliance, and program effectiveness
Report to the Director, Housing Eligibility and directly supervise one H2O Quality Management Administrator

Requirements

What you’ll need

3-5 years of experience in field
Bachelor's Degree in Healthcare Administration, Public Administration, Social Work, Business Administration, Public Health, Data Analytics, Human Services, or related field
Advanced knowledge of quality management, quality assurance, compliance monitoring, corrective action, and continuous improvement practices
Knowledge of AHCCCS requirements, Medicaid or other publicly funded service programs, and applicable regulatory and contractual requirements
Understanding of housing and homeless service delivery, including Housing First principles and Permanent Supportive Housing practices
Understanding of services for individuals with a Serious Mental Illness (SMI) designation
Knowledge of provider performance management, utilization monitoring, claims and billing processes, and performance measurement
Strong analytical skills and ability to interpret data, identify trends and risks, and translate findings into actionable recommendations
Ability to interpret policies, contractual requirements, and regulatory guidance and translate them into operational processes and quality standards
Strong written and verbal communication skills
Ability to act professionally and maintain appropriate boundaries with clients and staff
Ability to report as scheduled to work, meetings, training, and job-related activities prepared and as scheduled
Stable and secure private home internet with a minimum of 50Mbps download and 5Mbps upload, and average jitter less than 20% of latency

Benefits

Comp & perks

Friendly work environment
Generous paid time off (PTO)
Health benefits (Medical/Dental/Vision) that start the first of the month following the hire date
Competitive compensation
Convenient office locations and Hybrid Schedule
On-site fitness room free to all employees (Tempe Office)
Basic Life Insurance
Voluntary Life, Spouse, Child Insurance
Critical Illness w/free dependents
Critical Illness Spouse
Short Term & Long Term Disability- Starts first of the month after 90 days of employment
401K & 401K Roth - Starts first of the month after 90 days of employment
United Pet Care
LifeLock for identity theft
LYRA EAP Program- 25 free sessions for mental health per family member