Quality Assurance & Compliance Lead
Role purpose
Designs and leads the QA and compliance review program across case management, provider payment
processing, customer service, and supporting controls.
Core responsibilities
Establish QA plans, review standards, scorecards, and control routines.
Lead sample reviews, secondary reviews, trend analysis, and corrective-action planning.
Coordinate QA findings with operations leaders, training, program integrity, and reporting teams.
Support audit readiness, record reviews, and compliance evidence requests.
Monitor SLA-related quality trends and identify patterns affecting timeliness or accuracy.
Prepare monthly QA and compliance reporting for internal and State review.
Recommended minimum qualifications
Bachelor s degree preferred. Six or more years of administrative, quality, audit, compliance, or professional review
experience, including leadership responsibility for a QA or control function.
Minimum years of experience criteria
6+ years total relevant experience
2+ years in QA, compliance, audit support, review leadership, or supervisory control work
Direct regulated public program, Child Care Scholarship, Maryland public sector, or payment integrity/control
environment experience strongly preferred
Preferred qualifications
Experience in public program operations, case review, provider payment review, or regulatory compliance
environments.
Experience designing review criteria, conducting root-cause analysis, and developing targeted training
responses.
Experience supporting audits and developing quality dashboards or trend summaries.
Knowledge of federal and State regulations in a benefits or education environment.
Ideal prior experience for this procurement
Former MSDE or Maryland quality/compliance leader, program auditor, or operations-control manager with direct
experience in scholarship, benefits, or regulated case/payment environments.
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