Sierra Vista Child & Family Services
Modesto, California
Job DescriptionJob Description Apply Here: The Senior Quality, Billing and Reporting Specialist is responsible for improving agency performance and service delivery through data-driven analysis, continuous quality improvement (CQI), and regulatory compliance. This position ensures accuracy and integrity of clinical and administrative data, supports efficient workflows, monitors documentation quality, and assists in meeting all federal, state, and contractual requirements. Working collaboratively with direct service programs, administrative departments, and leadership, The Senior Quality, Billing and Reporting Specialist enhances operational efficiency, promotes a culture of quality and safety, and helps ensure the agency's adherence to behavioral health best practices. Qualifications: Highschool diploma or GED required. Bachelor's degree in Behavioral Health, Data Analytics, Public Health, Health Administration, or related field preferred. Minimum of three (3) years of experience in quality assurance, or compliance within a behavioral health or healthcare setting. Working knowledge of statistical analysis, data interpretation, and report generation preferred. Strong written and verbal communication skills, with the ability to provide clear feedback and training. Experience using and managing Electronic Health Record (EHR) systems preferred. Advanced proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, and Outlook), including the ability to create complex spreadsheets, develop professional presentations, and manage data using formulas, charts, and pivot tables. A valid California driver's license is required for staff who have regular driving duties, and the driving record must meet the requirements of their position and be approved by the agency's insurance company. Essential Job Functions: Strong computer skills and working knowledge of database systems. Foster a culture of continuous improvement, ability to identify inefficiencies and suggest enhancements to products and processes. Ability to collaborate effectively across departments while managing multiple priorities. Ability to communicate ideas in oral and written form. Protect and honor individual integrity through confidentiality. Ability to work effectively with cultural/ethnic diversity. Ability to work in a harmonious manner with subordinates, supervisors, and across departments. Adequate physical, mental, and emotional health to perform duties. Responsibilities: Conduct routine audits of clinical and administrative documentation within the EHR to ensure accuracy, completeness, and compliance with agency policy, payer requirements, and regulatory standards Health Insurance Portability and Accountability Act (HIPAA), Department of Health Care Services (DHCS), Joint Commission, Centers for Medicare & Medicaid Services (CMS), etc. Identify deficiencies and trends in documentation or processes; collaborate with staff and supervisors to develop and monitor corrective action plans. Assist with preparation for external audits, accreditation reviews, and licensing inspections. Participate in risk management activities, including incident tracking, root cause analysis, and implementation of performance improvement plans (PIPs). Support the development, review, and updating of agency policies and procedures to align with current regulations and best practices. Facilitate communication across departments to ensure data-informed decisions and alignment with agency goals. Provide education and feedback to staff regarding documentation standards, data accuracy, and quality expectations. Assist leadership in developing and evaluating performance metrics and outcome measures. Work closely with other departments and the Finance Team to analyze information, resolve billing issues, and ensure accurate financial reporting. Demonstrate knowledge of proper coding and processing of incoming Explanation of Benefits and Remittance Advice from payers. Manage all stages of the revenue cycle, including claim creation, denial management, and payment position, to ensure maximum reimbursement. Monitor claim progression daily, manage reports, and submit monthly updates and supporting documentations on billing activities to the Director. Responsible for preventing and controlling infection. Responsible for maintaining a culture of quality and safety. Other: Attend all required meetings and trainings. Report any suspected child or dependent adult/elder abuse or neglect immediately to direct supervisor or utilize the chain of command if supervisor is unavailable. Report any client imminent danger to self or to others or gravely disabled immediately to direct supervisor or utilize the chain of command if supervisor is unavailable. Other duties as assigned.
Job DescriptionJob Description Apply Here: The Senior Quality, Billing and Reporting Specialist is responsible for improving agency performance and service delivery through data-driven analysis, continuous quality improvement (CQI), and regulatory compliance. This position ensures accuracy and integrity of clinical and administrative data, supports efficient workflows, monitors documentation quality, and assists in meeting all federal, state, and contractual requirements. Working collaboratively with direct service programs, administrative departments, and leadership, The Senior Quality, Billing and Reporting Specialist enhances operational efficiency, promotes a culture of quality and safety, and helps ensure the agency's adherence to behavioral health best practices. Qualifications: Highschool diploma or GED required. Bachelor's degree in Behavioral Health, Data Analytics, Public Health, Health Administration, or related field preferred. Minimum of three (3) years of experience in quality assurance, or compliance within a behavioral health or healthcare setting. Working knowledge of statistical analysis, data interpretation, and report generation preferred. Strong written and verbal communication skills, with the ability to provide clear feedback and training. Experience using and managing Electronic Health Record (EHR) systems preferred. Advanced proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, and Outlook), including the ability to create complex spreadsheets, develop professional presentations, and manage data using formulas, charts, and pivot tables. A valid California driver's license is required for staff who have regular driving duties, and the driving record must meet the requirements of their position and be approved by the agency's insurance company. Essential Job Functions: Strong computer skills and working knowledge of database systems. Foster a culture of continuous improvement, ability to identify inefficiencies and suggest enhancements to products and processes. Ability to collaborate effectively across departments while managing multiple priorities. Ability to communicate ideas in oral and written form. Protect and honor individual integrity through confidentiality. Ability to work effectively with cultural/ethnic diversity. Ability to work in a harmonious manner with subordinates, supervisors, and across departments. Adequate physical, mental, and emotional health to perform duties. Responsibilities: Conduct routine audits of clinical and administrative documentation within the EHR to ensure accuracy, completeness, and compliance with agency policy, payer requirements, and regulatory standards Health Insurance Portability and Accountability Act (HIPAA), Department of Health Care Services (DHCS), Joint Commission, Centers for Medicare & Medicaid Services (CMS), etc. Identify deficiencies and trends in documentation or processes; collaborate with staff and supervisors to develop and monitor corrective action plans. Assist with preparation for external audits, accreditation reviews, and licensing inspections. Participate in risk management activities, including incident tracking, root cause analysis, and implementation of performance improvement plans (PIPs). Support the development, review, and updating of agency policies and procedures to align with current regulations and best practices. Facilitate communication across departments to ensure data-informed decisions and alignment with agency goals. Provide education and feedback to staff regarding documentation standards, data accuracy, and quality expectations. Assist leadership in developing and evaluating performance metrics and outcome measures. Work closely with other departments and the Finance Team to analyze information, resolve billing issues, and ensure accurate financial reporting. Demonstrate knowledge of proper coding and processing of incoming Explanation of Benefits and Remittance Advice from payers. Manage all stages of the revenue cycle, including claim creation, denial management, and payment position, to ensure maximum reimbursement. Monitor claim progression daily, manage reports, and submit monthly updates and supporting documentations on billing activities to the Director. Responsible for preventing and controlling infection. Responsible for maintaining a culture of quality and safety. Other: Attend all required meetings and trainings. Report any suspected child or dependent adult/elder abuse or neglect immediately to direct supervisor or utilize the chain of command if supervisor is unavailable. Report any client imminent danger to self or to others or gravely disabled immediately to direct supervisor or utilize the chain of command if supervisor is unavailable. Other duties as assigned.
Cielo Projects
Company Description WHO WE ARE Velotic is a newly formed independent software company with a pure-play focus on industrial operations. We unite two category-defining portfolios ThingWorx and Kepware (formerly part of PTC) and Proficy (formerly part of GE Vernova) to transform industrial manufacturing, at scale. With $350M in annual revenue, a global footprint across a range of industries, a legacy customer base, and our intelligent data connectivity systems and AI solutions, we are one of the world's largest independent software companies focused on industrial operations here to power the future of manufacturing. OUR MISSION Enabling the world's industrial producers to do the right things right-across every shift, every plant, every day. We help manufacturers prosper by equipping them with software-defined, data-driven production systems that elevate quality, accelerate cycle times, improve resilience, and enable sustainable profit growth. Job Description WHY THIS IS A ONCE-IN-A-CAREER OPPORTUNITY Lead in a market undergoing significant disruption and growth from cloud migration to edge intelligence to AI-powered industrial automation. Join a culture defined by ambition, authenticity, speed, teamwork, and the belief that manufacturing can meaningfully improve the world. Competitive benefits, compensation and long-term impact on how the world's industrial companies operate, automate, and innovate. ROLE SUMMARY We are seeking a highly skilled and motivated Senior Quality Assurance Engineer to lead our quality initiatives and ensure the delivery of high-performing, reliable software. As a key member of our engineering team, you will not only design and execute complex testing strategies but also act as a mentor, process advocate, and architectural advisor. You will be instrumental in evolving our automated testing frameworks and fostering a "quality-first" culture across the entire development lifecycle. KEY RESPONSIBILITIES 1. Strategy and Test Architecture Test Planning: Designing comprehensive test strategies for complex features, ensuring full coverage across unit, integration, system, and regression testing. Automation Framework Development: Designing and maintaining robust automation frameworks from scratch, selecting the right tools (e.g., Playwright, FlaUI, Protractor, RestAssured, Selenium, Playwright etc) that align with the company's tech stack. CI/CD Integration: Working on the DevOps tasks to integrate automated testing into the Continuous Integration/Continuous Deployment pipelines to ensure "quality at speed." Test lab management: Upkeep of all the test environments (on premise and cloud). Managing the security patching on the test deployments. 2. Technical Execution Risk Analysis: Performing deep-dive risk assessments to identify which parts of the application are most prone to failure and prioritizing testing efforts accordingly. Performance and Security Testing: Moving beyond functional testing to oversee or perform non-functional testing, including load testing, stress testing, and basic security vulnerability assessment. Root Cause Analysis: Investigating complex production issues to understand why bugs escaped the testing cycle and implementing safeguards to prevent recurrence. 3. Leadership and Mentorship Mentoring: Coaching junior engineers on best practices, code quality, and testing methodologies. Process Improvement: Identifying bottlenecks in the software development lifecycle (SDLC) and proposing process improvements (such as shifting left - testing earlier in the development cycle). Advocacy: Acting as a "Quality Champion" within the organization, promoting a culture where quality is a shared responsibility among developers, product managers, and designers. 4. Collaboration and Communication Requirement Analysis: Participating in design and architecture meetings early in the process to identify logical flaws or edge cases before code is even written. Stakeholder Reporting: Translating technical quality metrics (e.g., defect density, test coverage, pass/fail rates) into actionable insights for product managers and stakeholders. Qualifications REQUIRED QUALIFICATIONS Programming Skills: Proficiency in at least one object-oriented language (e.g., Python, JavaScript/TypeScript) to build and maintain complex automation frameworks. Automation Frameworks: Expertise in industry-standard tools. Experience developing automated tests for Windows based applications is highly preferred. Web: Selenium, Playwright, or FlaUI. API: Postman, REST Assured, or PyTest. CI/CD Knowledge: Practical experience with pipelines (e.g., Jenkins, GitHub Actions, GitLab CI). Infrastructure & Cloud: Familiarity with cloud platforms (AWS, Azure, or GCP) and containerization (Docker, Kubernetes) to simulate production-like testing environments. Metrics-Driven Mindset: Experience defining and tracking KPIs such as Mean Time to Detect (MTTD), Mean Time to Resolve (MTTR), and defect leakage rates to demonstrate the ROI of the QA team. Agile/Scrum Experience: Strong background working in iterative environments, including participation in sprint planning, grooming, and retrospectives. Industrial Automation Domain: Experience with SCADA (Supervisory Control and Data Acquisition) application and PLC devices REQUIRED. Education & Experience • Bachelor's degree in computer science or in "STEM" Majors (Science, Technology, Engineering and Math) • A minimum of 6 years of professional experience WORK ENVIRONMENT • Hybrid • No travel needs. Position Type: Exempt Compensation: USD 90000 - USD 110000 - yearly
Company Description WHO WE ARE Velotic is a newly formed independent software company with a pure-play focus on industrial operations. We unite two category-defining portfolios ThingWorx and Kepware (formerly part of PTC) and Proficy (formerly part of GE Vernova) to transform industrial manufacturing, at scale. With $350M in annual revenue, a global footprint across a range of industries, a legacy customer base, and our intelligent data connectivity systems and AI solutions, we are one of the world's largest independent software companies focused on industrial operations here to power the future of manufacturing. OUR MISSION Enabling the world's industrial producers to do the right things right-across every shift, every plant, every day. We help manufacturers prosper by equipping them with software-defined, data-driven production systems that elevate quality, accelerate cycle times, improve resilience, and enable sustainable profit growth. Job Description WHY THIS IS A ONCE-IN-A-CAREER OPPORTUNITY Lead in a market undergoing significant disruption and growth from cloud migration to edge intelligence to AI-powered industrial automation. Join a culture defined by ambition, authenticity, speed, teamwork, and the belief that manufacturing can meaningfully improve the world. Competitive benefits, compensation and long-term impact on how the world's industrial companies operate, automate, and innovate. ROLE SUMMARY We are seeking a highly skilled and motivated Senior Quality Assurance Engineer to lead our quality initiatives and ensure the delivery of high-performing, reliable software. As a key member of our engineering team, you will not only design and execute complex testing strategies but also act as a mentor, process advocate, and architectural advisor. You will be instrumental in evolving our automated testing frameworks and fostering a "quality-first" culture across the entire development lifecycle. KEY RESPONSIBILITIES 1. Strategy and Test Architecture Test Planning: Designing comprehensive test strategies for complex features, ensuring full coverage across unit, integration, system, and regression testing. Automation Framework Development: Designing and maintaining robust automation frameworks from scratch, selecting the right tools (e.g., Playwright, FlaUI, Protractor, RestAssured, Selenium, Playwright etc) that align with the company's tech stack. CI/CD Integration: Working on the DevOps tasks to integrate automated testing into the Continuous Integration/Continuous Deployment pipelines to ensure "quality at speed." Test lab management: Upkeep of all the test environments (on premise and cloud). Managing the security patching on the test deployments. 2. Technical Execution Risk Analysis: Performing deep-dive risk assessments to identify which parts of the application are most prone to failure and prioritizing testing efforts accordingly. Performance and Security Testing: Moving beyond functional testing to oversee or perform non-functional testing, including load testing, stress testing, and basic security vulnerability assessment. Root Cause Analysis: Investigating complex production issues to understand why bugs escaped the testing cycle and implementing safeguards to prevent recurrence. 3. Leadership and Mentorship Mentoring: Coaching junior engineers on best practices, code quality, and testing methodologies. Process Improvement: Identifying bottlenecks in the software development lifecycle (SDLC) and proposing process improvements (such as shifting left - testing earlier in the development cycle). Advocacy: Acting as a "Quality Champion" within the organization, promoting a culture where quality is a shared responsibility among developers, product managers, and designers. 4. Collaboration and Communication Requirement Analysis: Participating in design and architecture meetings early in the process to identify logical flaws or edge cases before code is even written. Stakeholder Reporting: Translating technical quality metrics (e.g., defect density, test coverage, pass/fail rates) into actionable insights for product managers and stakeholders. Qualifications REQUIRED QUALIFICATIONS Programming Skills: Proficiency in at least one object-oriented language (e.g., Python, JavaScript/TypeScript) to build and maintain complex automation frameworks. Automation Frameworks: Expertise in industry-standard tools. Experience developing automated tests for Windows based applications is highly preferred. Web: Selenium, Playwright, or FlaUI. API: Postman, REST Assured, or PyTest. CI/CD Knowledge: Practical experience with pipelines (e.g., Jenkins, GitHub Actions, GitLab CI). Infrastructure & Cloud: Familiarity with cloud platforms (AWS, Azure, or GCP) and containerization (Docker, Kubernetes) to simulate production-like testing environments. Metrics-Driven Mindset: Experience defining and tracking KPIs such as Mean Time to Detect (MTTD), Mean Time to Resolve (MTTR), and defect leakage rates to demonstrate the ROI of the QA team. Agile/Scrum Experience: Strong background working in iterative environments, including participation in sprint planning, grooming, and retrospectives. Industrial Automation Domain: Experience with SCADA (Supervisory Control and Data Acquisition) application and PLC devices REQUIRED. Education & Experience • Bachelor's degree in computer science or in "STEM" Majors (Science, Technology, Engineering and Math) • A minimum of 6 years of professional experience WORK ENVIRONMENT • Hybrid • No travel needs. Position Type: Exempt Compensation: USD 90000 - USD 110000 - yearly