Job Description

DataStaff, Inc . is currently seeking a Team Lead for a long-term contract opportunity with one of our direct clients in Raleigh, NC .

*This position is hybrid; remote with a requirement of 4 days per month in office.

Position Summary

The Team Lead oversees quality monitoring and compliance activities related to community-based services delivered through Home and Community-Based Services (HCBS) waiver programs. This role ensures services align with person-centered principles and supports adherence to federal and state Medicaid waiver requirements. Additionally, this position will be responsible for the day-to-day operational decisions related to the requirements of program enrollment, quality assurance initiatives, and outreach and education.

The CAP waivers are authorized under section1915(c) of the Social Security Act and comply with 42 CFR § 440.180. These programs provide a cost-effective alternative to institutionalization by supporting a physically disabled Medicaid beneficiary to remain in or return to a home and community-based setting.

Key Responsibilities

• Oversee quality reviews of WQP documentation and case notes.
• Develop and utilize quality review tools for internal and external QAPI initiatives.
• Ensure services meet HCBS waiver requirements and align with person-centered plans.
• Recommend workflow improvements to strengthen program compliance and service effectiveness.
• Track key performance indicators.
• Manage and respond to Service Now requests
• Prepare quality reports and support data collection for audits and state reporting requirements.

Qualifications Required:

• Bachelor’s degree in Social Work, Health Sciences, Public Health or Human Services related field.
• Minimum 3 years case management or community outreach experience.
• Ability to effectively manage multiple tasks and competing priorities.

Preferred:

• 1–2 years in a lead or supervisory role.
• Previous experience in Medicaid programs.
• Previous experience in quality assurance and program compliance.

Skills & Competencies

• Proficiency with electronic health records and software platforms such as OASIS, PointClickCare, EPIC, SharePoint and MS Office.
• Ability to collaborate and adapt to change.
• Strong written and verbal communication and critical thinking skills.
• Ability to review performance data and metrics.

Work Environment and Physical Requirements

• Primarily hybrid/remote with a requirement of 4 days per month in office.
• Occasional travel may be required.
• Ability to sit, stand, and use computer and phone for extended periods.

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