QA Audit Specialist and Trainer

IHCS provides an Integrated Delivery System in the home setting, which includes, DME, Respiratory, Home Health and Home Infusion services. IHCS has a select network of Medicare and/or Medicaid Certified and Accredited providers to respond to the needs of our patients – 24/7. We operate with the sole intent of providing the highest quality in-home care services that improve and enhance the daily living for our patients, where our patients are #1 Our delivery model is trusted by national Managed Care Organizations (MCOs), physicians and patients, positioned with over two decades of expertise as the market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services. We currently serve over 2 million lives throughout the nation and the Commonwealth of Puerto Rico. Join our team as we strive for excellence through teamwork delivering high quality care to our patients through Exceptional Customer Service, Proven Outcomes, and Seamless Care. Benefits Medical, Vision, Dental, Short- and Long-term insurance 6+ Days of Holidays Pay 13 days of PTO Employer paid life insurance 401K with employer contribution Wellness program with reward incentives Employee recognition and reward programs What will you be doing: The QA Audit Specialist and Trainer is responsible for ensuring compliance with state and federal regulations related to prior authorization processes for home health (HH), durable medical equipment (DME), and infusion services. This applies to internal processes, as well as, providing support during health plan audits performed quarterly and/or annually. This role involves conducting detailed employee audits on a monthly basis to assess adherence to established policies & procedures, guidelines, identifying areas for improvement, and providing feedback to enhance overall quality and regulatory compliance. The specialist collaborates with internal teams to maintain accuracy, efficiency, and consistency in prior authorization procedures while supporting continuous process What will you come with: 2–5 years of experience in healthcare auditing, quality assurance, compliance, or utilization management, preferably in prior authorization for Home Health (HH), Durable Medical Equipment (DME), and Infusion services. Experience working with state and federal healthcare regulations, including Medicare, Medicaid, and commercial health plans. Familiarity with accreditation standards (URAC, NCQA, Joint Commission, ACHC) is a plus. IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr Integrated Home Care Services, Inc.