Quality assurance and improvement (QA/I) professionals are in pivotal positions in their organizations, yet almost nothing is known about this workforce in the social services. This exploratory study examines a small sample of QA/I professionals at private, nonprofit social service agencies. Findings reveal that most QA/I professionals are well educated, seasoned clinicians and many are social workers. However, many lack research skills and formal QA/I training. Accreditation frequently led them to their QA/I role, and none started their career to become a QA/I professional. Social work programs should consider career paths in QA/I and develop training curricula for these professionals.