Quality Assurance and Compliance Manager

Remote Opportunity with a Flexible Schedule Employer: TRAC Autism Center Inc. Office location: 3290 W Big Beaver Rd, Troy, MI 48084, United States. Work arrangement: Remote. Schedule: Create your own schedule, Monday through Friday, within a 40-hour workweek. Reports directly to: Director of Operations and VP of Clinical Operations. About the Opportunity: TRAC Autism Center Inc. is looking for an organized, approachable Quality Assurance and Compliance Manager who enjoys helping teams stay on track and making it easier for families to access Applied Behavior Analysis (ABA) services. In this role, you will manage quality assurance, compliance, provider credentialing, client intake, benefits verification, and service authorizations, working closely with our operations and clinical leaders. This remote position offers the flexibility to create your own schedule within a 40-hour workweek, Monday through Friday. You will have room to organize your day while staying connected with the team, meeting payer and compliance deadlines, and keeping important processes moving. We are looking for someone who brings practical ABA or behavioral health experience, follows through on details, and takes a collaborative approach to solving problems. What You Will Do: Provider Credentialing and Enrollment: - Manage provider credentialing, renewals, and enrollment for TRAC, its service locations, and individual practitioners across county Community Mental Health (CMH) agencies, Community Mental Health Services Programs (CMHSPs), regional Prepaid Inpatient Health Plans (PIHPs), Medicaid, and commercial insurance networks, as applicable. - Keep an organized reference of county and payer requirements, including provider qualifications, application steps, contract conditions, and renewal deadlines. - Prepare credentialing and enrollment applications, follow up on missing information, and track submissions, approvals, and participation effective dates. - Keep CAQH Provider Data Portal profiles, Michigan CHAMPS records, NPI/NPPES information, payer portals, and county or regional profiles current. - Coordinate provider attestations and access in accordance with each portal’s requirements. - Maintain accurate provider rosters and supporting records, including practice affiliations, service locations, licenses, certifications, and professional liability coverage. - Work with human resources and clinical leadership to verify licenses, BACB certifications, provider qualifications, exclusion