Compliance/Quality Assurance Officer presso Prince George's County Government, MD

About the Department

Come join our team!

 

Prince George’s County Government provides a dynamic and inclusive workplace where employees can thrive, learn, and grow across its 30 diverse agencies, all dedicated to serving the County's residents with essential resources and services. Nestled just minutes away from Washington, DC, Prince George's County combines urban vibrancy with serene surroundings, offering an ideal setting to live, work, and enjoy life.

The Prince George’s County Health Department is currently seeking qualified applicants to fill a Compliance/Quality Assurance Officer, (Community Developer II) grade A21 position, in the Health and Wellness Division.

About the Position

This incumbent performs a variety of assignments in the areas of community liaison/development/advocacy and or social services among client populations. Incumbent will perform the more complex community development assignments subject to extensive public contact.

About the Agency

The Prince George's County Health Department's (PGCHD) vision is that all Prince Georgians are their healthiest at every age and every stage. Their mission is to lead, engage, and empower our community to work collaboratively towards disease prevention, health equity, and total well-being. The PGCHD works to protect and support the public’s health through numerous services that range from restaurant inspections and disease tracking to care coordination and health promotion. The department is composed of four divisions: Behavioral Health Services, Environmental Health and Disease Control, Family Health Services, and Health and Wellness, supported by the Office of Administration, Office of Human Resources and the Office of the Health Officer. The mandate of the department has been, and will remain, broad. This plan emphasizes improving core functions and operations, including protecting the public from health threats, implementing strategies to support healthy living, and maintaining a focus on vulnerable populations, while developing efficient internal processes to support these activities.

Position Duties

• Oversees the community outreach activities for the program.
• Represents program on various committees to improve access to care, reduction in infant mortality, and preterm births. 
• Conducts scheduled visits to specific providers’ offices to share information about HealthChoice and the ACCU program. 
• Responds to questions about the ACCU Program or services in a professional manner. 
• Processes MCA referrals from Maryland Department of Health to ensure that Medicaid beneficiaries understand and utilize the Medicaid (MA) system to improve their access to care.
• EPIC Quality Assurance/EPIC System Support.
  

Minimum Qualifications

Minimum Qualifications

• Bachelor's Degree with major course work in business or public administration, social service, sociology, psychology, or other fields. 
• One (1) year of responsible work experience. 

Any equivalent combination of relevant training, education and experience may also be considered. 

Preferred Qualifications

• 1-3 years' experience working with Care Coordination or Medicaid recipients. 
• Experience collecting data to provide service referrals. 
• 2-5 years of customer service and answering consumer questions. 
• 1-3 years of working experience with Managed Care Organizations and Medicaid providers.
• 2-5 years working experience applying Maryland ACCU policies and COMAR regulations

EACH APPLICATION MUST INCLUDE INFORMATION THAT CLEARLY DEMONSTRATES THE ABOVE QUALIFICATIONS FOR THIS POSITION.

Other Qualifications

Job Location: 1801 McCormick Drive, Largo, MD 20774

Conditions of Employment:  Upon selection, the candidate must:

• Meet all training and performance standards and demonstrate proficiency as required by the agency. 
• Wear and use agency protective apparel and equipment in the performance of their assigned duties, if applicable.
• Successfully pass preemployment checks which may include reference checks, background investigations, and drug screenings, where applicable.
• Be willing and able to serve as an essential employee. Essential employees are expected to report during standard or non-standard hours as operations necessitate, or during emergencies. Essential employees are expected to report or remain at work when other County employees are granted Administrative Leave.
• Applicants who meet minimum qualifications will be invited for an interview to demonstrate proficiency in call center and administrative duties

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