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.
ResponsibilitiesEDUCATION AND EXPERIENCE
Bachelor's Degree and two years experience in quality assurance, regulatory or healthcare areas is required OR Highschool Diploma/GED and 6 years of experience required.
SUD program experience strongly preferred.
Office/remote work plus frequent onsite facility environments (clinical, residential, outpatient)
30–50% statewide travel across Texas, including driving and flying to provider locations. Travel may include overnight stays and after‑hours work based on audit scheduling needs.
Plan, schedule, and conduct full‑scope and targeted audits of SUD and related programs to verify compliance with HHSC regulations, contractual SOWs, and TAC requirements.
Validate service delivery against contractually required service levels, client/participant satisfaction, service capacity, access to services, populations served, evidence‑based practices, and timeframes.
Conduct on‑site visits across Texas to observe operations, perform data integrity checks across EHR/EMR systems, conduct facility walkthroughs, and evaluate environment of care.
Produce clear, timely audit reports detailing scope, findings, ratings, and risk prioritization.
Issue deficiency notices; collaborate with providers to develop Performance Improvement Plans (PIPs).
Verify PIP implementation and effectiveness through evidence reviews.
Present findings to providers, leadership, and network provider partners.
Partner with provider network to align on standards and remediation.
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.
Office/remote work plus frequent onsite facility environments (clinical, residential, outpatient)
Prolonged periods of driving and/or flying for on-site visits
Benefits Overview
- Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.
- Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.
- Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
- Holidays: 12 set paid holidays each year.
Skills Required
- Bachelor's Degree
- Two years experience in quality assurance, regulatory, or healthcare areas
- Detail oriented with strong organizational skills
- Exercises a high degree of confidentiality and integrity
- Ability to manage multiple tasks to ensure completion of long-term and short-term deadlines
- Excellent written and oral communication skills
- Ability to manage competing priorities effectively
What We Do
UT Health San Antonio™, one of the country’s leading health sciences universities, is the leader in south/central Texas funding for the National Institutes of Health (NIH). The university’s schools of medicine, nursing, dentistry, health professions and graduate biomedical sciences have produced more than 33,000 alumni. The $806.6 million operating budget supports four campuses in San Antonio and Laredo, and is the primary driver of its community’s $37 billion biomedical and health care industry. For more information on the many ways “We make lives better®,” visit uthealthsa.org.
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