Quality Assurance Compliance Specialist- Program Specialist Senior

Multnomah County

  • Portland, Oregon
  • 2 days ago
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    Description

    This is an internal job posting. Only former Multnomah County employees on an active recall list may apply for this opportunity through this site.

    Current employees: Please apply through the employee portal to be considered for this opportunity.

    Pay Range:

    $45.27 - $55.67 Hourly

    Department:

    Health Department

    Job Type:

    Regular Represented

    Exemption Status:

    United States of America (Non-Exempt)

    Closing Date (Open Until Filled if No Date Specified):

    August 22, 2026


    The Opportunity:

    THIS WORK MATTERS!

    **This recruitment is for the Health Department only**

    This position is in the Quality Management (QM) and Compliance Program of the Behavioral Health Division. The QM/Compliance Program focuses on quality assurance and quality improvement processes, measurement of performance and quality indicators, and monitoring of compliance standards for contracted providers and county behavioral health (BH) services. This position supports with contracts and budget reviews for programs as well as policies and procedures. 

    As theQuality Assurance Compliance Specialist Program Specialist Senior (PSS), other duties will include:

    General Compliance Oversight; Regulatory, Policy and Legislative

    • Provide subject matter expertise on compliance and regulatory requirements for BHD Safety Net Services programs to drive initiatives, support programs in improving outcomes or services, and implement requirements. 

    • Conduct work flow analysis to identify areas for improvement, simplify redundant processes, and address quality assurance/compliance requirements. 

    • Identify problems and formulate solutions independently or through consensus with Oregon Health Authority (OHA) and BHD.  

    • Identify trends and issues presenting in multiple systems and facilitate communication/meetings regarding systems issues (including with OHA and County Systems). 

    • Formulate corrective action strategies as needed. 

    • Collect and analyze information concerning the implementation of policy decisions, and analyze the effect of policy decisions upon service delivery and operations. 

    • Monitor program compliance with Oregon Administrative Rules (OARs) regarding provision of services, standards of care, and patient safety. 

    • Collaborate with Safety Net Services Leadership and staff on planning and coordinating ongoing training. 

    • Provide technical assistance when needed/requested by the Safety Net Services Unit. 

    • Participate in Rule Advisory Committee meetings and provide engagement with rule changes, including in-person meetings, written feedback and comments and communication back to the team about how rule changes may impact work/workload. 

    • Annually, during the legislative session, monitor legislation having an impact on programs; prepare policy statements on legislative topics. Provide Senior Management analysis and assessment of how legislation will impact compliance related activities for programs in the Division. 

    Risk Assessments and Audits

    • Conduct Risk Assessments and internal Audits of BHD programs when issues arise, or on a predetermined schedule per Compliance Plan. 

    • Develop, implement, and maintain BHD Compliance Plan, quality management plans and systems to ensure compliance and achieve program outcomes. 

    • Develop and administer sophisticated survey instruments to evaluate program effectiveness and recommend proposals based on data-driven analysis; Develop program evaluation criteria; collect data to evaluate program performance based on rules, regulations, guidelines, goals and objectives; analyze and prepare formal assessments and reports of BHD programs; make program recommendations based on research and analysis conducted. 

    • Issue Corrective Action Plans as indicated. 

    • Monitor compliance with any recommendations or Corrective Action Plans. 

    • Work with other members of the Quality Management team to provide technical assistance to programs negotiating Corrective Action plans. 

    Investigations

    • Conduct investigations of code of conduct, fraud, waste and abuse allegations. 

    • Review mental health treatment records, operational records and conduct interviews. 

    • Compile and analyze all investigative findings in order to reach a conclusion regarding allegations. 

    • Write detailed investigative reports summarizing findings and supporting conclusions and recommendations for corrective action. 

    • Work with the County Attorney’s office, Human Resources, the Protected Class Complaint office, leadership and the Quality Management team to evaluate reports of misconduct, fraud, waste or abuse allegations to determine the appropriate course of action, and role delineation.

    • External Audits: Participate in Behavioral Health and provider network regional compliance audits and quality assurance reviews. Work as a team member with the rest of the Quality Management team to compile operational documents, policies, and client files for submission for audits of BHD.

    Contract and Boilerplate Maintenance

    • Review program quality control activities over complex contracts with high levels of funding at risk. 

    • Conduct analysis on contract best practices and trends and formulate recommendations. 

    • Advise senior management on policy and organizational issues with contract process and make recommendations for process improvement. 

    • Identify problems and formulate solutions independently or through consensus with stakeholders; provide project management on inter-divisional contract projects; consult with programs in BHD to assist with their development and implementation of training for revised or new business systems or processes. 

    Multnomah County offers an exceptional benefits package, including employer-funded retirement savings; health and dental insurance at very low cost to full-time employees and their dependents; paid parental leave; wellness programs; a focus on work-life balance; and much more. Find more details on our benefits website.

    TO QUALIFY:

    We will consider any combination of relevant work experience, volunteering, education, and transferable skills as qualifying unless an item or section is labeled required. Please be clear and specific about how your background is relevant. For details about how we typically screen applications, review our overview ofthe selection process page.

    Minimum Qualifications (REQUIRED):

    • Education/Training: Equivalent to a bachelor's degree and three (3) to six (6) years of experience that demonstrates the ability to perform the duties of the position. (Equivalency 7-10 years of qualifying training and/or experience).
    • Ability to complete Healthcare Basic Compliance Academy within 1st year in the position- (Health Care Compliance Association))
    • Knowledge, skills, and abilities (KSA): 
      1. Working knowledge of contract compliance criteria and quality indicators. 
      2. Experience in conducting audits or investigations, including data collection, analysis, recommendations for corrective action and compliance monitoring. 
      3. Experience with Medicaid billing, managed care systems, and/or health plans.

    Other: 

    • This position requires a background investigation, which may include being fingerprinted. 

    Preferred Qualifications/Transferable Skills*: You do not need to have the following preferred qualifications/ transferable skills to qualify. However, keep in mind we may consider some or all of the following when identifying the most qualified candidates. 

    • Certified in Healthcare Compliance (CHC)

    • Subject matter expert in quality assurance

    • Knowledge of issues faced by those who experience behavioral health challenges and a basic understanding of the full continuum of care for those in need of services.

    • Lead with race through actions and advocacy with internal programs, with community partners and across departments throughout the county.

    • Demonstrate the ability to flex style in order to be effective across cultural context.  

    • Respect and appreciation for ethnic and cultural diversity.

    • Ability to collaborate and build relationships to achieve positive work outcomes.

    • Ability to maintain a safe and healthy workplace.

    • High degree of resilience, is outcome driven, and can thrive in an environment of rapid change while managing pressure in an effective and professional manner.

    *Transferable skills:Your transferable skills are any skills you have gained through education, work experience (including the military) or life experience that are relevant for this position. Be sure to describe any transferable skills on your application and clearly explain how they apply to this position.

    SCREENING & EVALUATION (REQUIRED):

    The Application Packet: You must submit ALLrequested items below. Failure to do so will be deemed as an incomplete application.

    1. Attach aResume demonstrating you meeting minimum qualifications; AND

    2. Attach a Cover Letter addressing the following: 

    • Demonstrate your experience working with diverse vulnerable populations; and

    • Describe your experience tracking and managing large amounts of data and producing reports and data analysis; AND

    • How do your transferable skills align with the qualifications for this position, and why are you interested in this position?

    Note:The application, resume and cover letter should demonstrate your work experience/skills and how it is related to those shown in the ‘Overview’ and ‘To Qualify’ sections of the job announcement. Please be thorough, as these materials will be scored and determine your eligibility to advance in this recruitment process. 

    The Selection Process: For details about how we typically screen applications, review our overview ofthe selection processpage. We expect to evaluate candidates for this recruitment as follows:

    • Initial review of minimum qualifications

    • Resume and Cover Letter Review 

    • Phone screen

    • Consideration of top candidates

    • Background, reference

    ADDITIONAL INFORMATION:

    Type of Position: This hourly union-represented position is eligible for overtime

    Type: Represented

    FLSA: Non-Exempt 

    **Applying for this posting will give you the opportunity to be placed on the eligible list for future opportunities for Program Specialist Senior positions as positions for these programs become available. The eligible list created from this recruitment may be used to fill regular, full or part time, temporary, and limited duration assignments.

    Teleworking (if applicable) :At this time, this position is designated to “routine telework,” meaning you will be working remotely (from home) most of the time; a hybrid schedule also is available. As with all routine telework positions, employees may be required to come into the office on occasion. The designation of Routine Telework may be subject to change at a future time. Currently, all employees must reside in Oregon or Washington; the county cannot support ongoing telework from other locations.

    Pay Equity: Please be advised that the pay range listed for this position is intended to provide general guidance on the earning potential for the role. However, actual compensation will be determined in accordance with the Oregon Equal Pay Law and will take into account factors such as the candidate's relevant experience and education. Candidates should expect that initial offers will be made within the listed pay range and may not be at or near the top of the range.

    Multnomah County offers an exceptional benefits package, including employer-funded retirement savings; health and dental insurance at very low cost to full-time employees and their dependents; paid parental leave; wellness programs; a focus on work-life balance; and much more. Find more details on ourbenefits website.


    In accordance with Oregon Law, Multnomah County is not collecting school attendance dates in the initial application process; please do not include these dates in your resume, cover letter and other application materials.

    Diversity and Inclusion: At Multnomah County, we don't just accept difference; we value it and support it to create a culture of dignity and respect for our employees.

    We are proud to be an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran or protected veteran status, genetic information and other legally protected characteristics. The EEO Know Your Rights poster is available for your reference. Multnomah County is a VEVRAA Federal Contractor. We request priority protected veteran referrals.

    Veterans’ Preference: Under Oregon Law, qualifying veterans may apply for veterans’ preference. Review our veterans’ preference page for details about eligibility and how to apply.

    Accommodation under the Americans with Disabilities Act: We gladly provide reasonable accommodation to anyone whose specific disability prevents them from completing an application or participating in this recruitment process. Please contact the recruiter below in advance to request assistance. Individuals with hearing or speech impairments may contact the recruiter through the Telecommunications Relay Service by dialing 711.

    Questions?

    Recruiter:

    Jahaira Ramos

    Email:

    jahaira.ramos@multco.us

    Phone:

    +1 (971) 6105392

    Application information may be used throughout the entire selection process. This process is subject to change without notice.

    Disclaimer: This announcement is intended as a general descriptive recruitment guide and is subject to change. It does not constitute either an expressed or implied contract.

    Job Profile:

    6088 - Program Specialist Senior

    Numbers & Facts

    LocationPortland, Oregon
    Websitemultco.us/jobs/veterans-preference-information-and-instructions

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