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Quality Assurance Specialist - Tribal Membership

Job Description - Quality Assurance Specialist - Tribal Membership

Description

Job Purpose or Objective(s): As a Quality Assurance Specialist in Member Services, you will ensure the accuracy, compliance, and integrity of the Choctaw Nation of Oklahoma (CNO) tribal membership processes by reviewing applications, enforcing policies, and supporting legal and operational needs through analysis and process improvement. You will report to the Director.

Location: Durant

Schedule: Regular/Full-Time - Monday-Friday, 8:00am-4:30pm

Wage access is an option for this position.

Primary Tasks:

  1. Review, approve, or deny new tribal membership applications, blood quantum amendments, and revocations in accordance with CNO policies and laws.

  2. Conduct final quality assurance audits on membership decisions to ensure compliance and accuracy.

  3. Provide timely, documented feedback to leadership and staff regarding policy concerns, compliance issues, and procedural violations.

  4. Manage and communicate membership denials and appeals, collaborating with the CNO legal team and Membership Board as needed.

  5. Serve as the primary expert contact for CNO legal team regarding subpoenas and membership-related inquiries, including record retention and enrollment processes.

  6. Evaluate program compliance and support continuous process improvement efforts to address backlogs and improve resource allocation.

  7. Develop and implement standard operating procedures to enhance operational efficiency and policy adherence.

  8. Provide guidance, mentoring, and training for Program Coordinators and team members to support performance development.

  9. Perform administrative duties such as filing, organizing supplies, and reporting, while ensuring timely completion of all mandatory departmental and CNO training.

  10. Perform other duties as may be assigned.

 

Required Education, Skills and Experience: 

  • Bachelor's degree in related field and two [2] years of audit, quality assurance, compliance, or risk management, OR 
  • Six [6] years of directly related experience in lieu of education.
  • Experience with MS Word, Excel and PowerPoint


Responsibilities

Job Purpose or Objective(s): As a Quality Assurance Specialist in Member Services, you will ensure the accuracy, compliance, and integrity of the Choctaw Nation of Oklahoma (CNO) tribal membership processes by reviewing applications, enforcing policies, and supporting legal and operational needs through analysis and process improvement. You will report to the Director.

 

Primary Tasks:

  1. Review, approve, or deny new tribal membership applications, blood quantum amendments, and revocations in accordance with CNO policies and laws.

  2. Conduct final quality assurance audits on membership decisions to ensure compliance and accuracy.

  3. Provide timely, documented feedback to leadership and staff regarding policy concerns, compliance issues, and procedural violations.

  4. Manage and communicate membership denials and appeals, collaborating with the CNO legal team and Membership Board as needed.

  5. Serve as the primary expert contact for CNO legal team regarding subpoenas and membership-related inquiries, including record retention and enrollment processes.

  6. Evaluate program compliance and support continuous process improvement efforts to address backlogs and improve resource allocation.

  7. Develop and implement standard operating procedures to enhance operational efficiency and policy adherence.

  8. Provide guidance, mentoring, and training for Program Coordinators and team members to support performance development.

  9. Perform administrative duties such as filing, organizing supplies, and reporting, while ensuring timely completion of all mandatory departmental and CNO training.

  10. Perform other duties as may be assigned.



Qualifications
  • Bachelor's degree in related field and two [2] years of audit, quality assurance, compliance, or risk management, OR 
  • Six [6] years of directly related experience in lieu of education.
  • Experience with MS Word, Excel and PowerPoint



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