About this role
The Quality Assurance Auditor – SUD is responsible for planning and conducting regulatory and contractual compliance audits of providers delivering substance use and related disorder services across the State of Texas. This role verifies adherence to Health and Human Services (HHS/HHSC) requirements, contractual Statements of Work (SOWs), applicable Texas Administrative Code (TAC) provisions, and internal policies. The auditor drives quality improvement by tracking performance metrics, completing comprehensive reports, presenting findings, and partnering with providers on corrective action and sustainability.
- Regulatory Acumen: Interprets and operationalizes HHSC requirements, SOWs, and TAC standards.
- Audit Rigor: Applies structured methodologies, risk‑based sampling, and objective scoring.
- Data‑Driven: Converts metrics into insights; monitors CAP effectiveness.
- Communication & Influence: Writes crisp reports; presents to diverse audiences; builds provider buy‑in.
- Field Readiness: Manages extensive travel; adapts to varied provider settings statewide.
- Integrity & Judgment: Handles sensitive information; exercises impartial, evidence‑based decision‑making.
- Continuous Improvement: Identifies system gaps; recommends pragmatic, sustainable fixes.