Quality Assurance Analyst
Georgia.gov
Job Overview
Pathways Center Community Service Board (CSB) provides behavioral health, developmental disabilities, and addictive
disease services in the west central Georgia region. Pathways Center's administrative team provides operational support
and assistance company-wide, enabling direct support team members to focus on care and service delivery to each
client/patient. The individual in this role is a part of the company's Quality Assurance and Compliance team focused on
ensuring program and service fidelity, adherence to best practices, and the delivery of high quality services within the
Pathways Center organization.
Under general supervision, the person in this role interprets and applies statistical, financial, and/or operational data to
support continuous quality improvements in service delivery. Responsibilities of the Quality Assurance Analyst- IDD and
Residential Services include but are not limited to the following:
Serves as the Subject Matter Expert (SME) for assigned programs and services
Evaluates programs for compliance with service guidelines, contracts, regulatory standards, and best practices
Assists in the development of quality control measures or internal audit tools to ensure adherence to program
compliance standards
Serves as the Utilization Manager for assigned programs, monitoring and tracking trends in the treatment/service mix,
identifying discrepancies between services ordered and services provided, and identifying under/over-utilized services
Serves as the Utilization Manager for assigned programs to provide entry of prior authorizations of services for clients
enrolled within the Intellectual and Developmental Disability programs to ensure accurate and timely billing.
Extracts data from the electronic health record and other systems to monitor and track program outcomes and
performance indicators.
Prepares user-friendly charts, graphs, tables, and other formats to communicate results, identify trends, and facilitate
review and discussion of information presented
Works with the clinical teams to identify Evidence-Based practices and integrating EBPs into service delivery
Conducts employee time studies; Observes/Analyzes time spent to maximize the utilization of human resources
toward meeting performance indicators and service outcomes
Manages stakeholder satisfaction and feedback programs
Assists with stakeholder engagement efforts
Leads client/patient record reviews; Prepares reports and recommendations for improvements in clinical
documentation
Leads continuous quality improvement efforts for assigned programs
Assists with monthly programmatic narratives
Exercises various latitudes of independent judgment in researching and reporting areas of inefficiency and providing
suggestions for closing performance gaps, including recommendations for system efficiency and integrity
Partners with program directors, managers, and site supervisors to effectively manage change and programmatic
performance improvement
Provides hands-on coaching and development of direct service workers
Provides training and technical assistance to internal stakeholders
Leads or assists with audits, compliance reviews, and licensing/certification visits
Provides training and technical assistance to internal stakeholders
Works on a rotating basis to ensure presence in programs that operate on a 24/7 basis
Spends approximately 80% of time onsite at service locations and 20% of time in the office
Attends ongoing training and professional development activities
Participates in focus groups and user groups related to ones area of assignment
Adheres to Pathways Center’s G.R.E.A.T. customer service expectations
Minimum Qualifications
Bachelor’s degree in a human service or related field AND five years of experience performing work in a related field; OR
eight years in a related area of assignment