Hello Jason,
Would like to confirm with you the licensing on the org. Quality Management needs at least GC2 or GC1+WEM add-on. It looks like the org has it but just wanted to make sure - this was touched upon in a customer scenario I was reviewing last week.
Seconding Anton's response regarding role. I see that for this permission it can be
triggered by conditional scenarios. Might be good to check this out. In my test org, the permission defaults with no conditions.
If licensing, permission, and role assignment are all confirmed then the next best option here would be to endorse the situation to Product Support for investigation. If you have not done so, please open a case on this topic.
------------------------------
Nico Feliciano
Genesys - Employees
------------------------------