Quality Analyst

Quality Analyst

The Quality Analyst oversees the development, implementation, and maintenance of policies and procedures within Subsidy Childcare contracts, focusing on fraud prevention and program enhancement. This position will conduct monthly audits of client files to ensure quality assurance across family, provider, and payment records. The Quality Analyst provides program support, training, and monitoring program integrity, data, and compliance. This position also reviews and adjudicates parent appeals and grievances, ensuring adherence to regulatory timelines, as necessary.

Depending on the assigned area of focus, the Quality Analyst will be responsible for one of the following specialized functions:

• Reporting: Manage the maintenance, development, and analysis of departmental reports to ensure data accuracy, system functionality, and effective reporting
• Program Integrity: Review and assess all parent appeals received for Subsidy Programs and develop and identify, analyze, resolve potential fraud cases in parent and provider files

SCHEDULE:

Monday through Friday, 8:00 a.m. to 4:30 p.m.

WORK DESIGNATION:

• Remote (must work within San Diego County Region)
• The position will primarily be remote, with in-person work required up to five (5) days per week at the Chula Vista, 30th Street, or Escondido office, during the full duration of department-wide new and ongoing trainings. Please note that the work designation may change based on business needs.

Responsibilities

• Review and assess all parent appeals received for Subsidy Programs, analyzing agency actions and making determinations to uphold or overturn them
• Conduct objective secondary reviews of staff actions to address parent and provider grievances, ensuring equitable outcomes and compliance
• Develop and implement, and/or maintain a system to identify potential fraud cases in parent and provider files, analyzing and resolving cases referred for potential fraud and/or policy violations
• Collaborate with Community Care Licensing (CCL) to report suspected licensing violations and stay informed of licensing changes; Review CCL facility evaluation reports for enrolled providers
• Work closely with partner subsidy agencies, CDSS, and the County of San Diego to ensure alignment and consistency with fraud policies and share information on potential fraud cases
• Monitor provider enrollment with other childcare agencies in San Diego County
• Collaborate with the case management intake team to educate parents on licensing ratios, empowering them in choosing quality childcare settings with appropriate enrollment levels
• Collect, synthesize, and distribute data related to audits, fraud, and appeals to the Finance Department, identifying trends and training needs
• Develop a comprehensive Quality Assurance Plan for Subsidy Childcare programs, conducting second-level audit reviews in accordance with program regulations
• Recommend changes to policies and procedures, and prepare responses to community partners and regulatory agencies; Conduct training on updated policies and procedures

Qualifications

• Bachelor's degree in child development, human services, or related field or four (4) years' equivalent related experience required AND,
• Minimum of three (3) years of experience in an Alternative Payment Program, and must have working knowledge of San Diego's childcare community

Pay Range

USD $31.78 - USD $35.93 /Hr.