Reports to: The Executive Director
FLSA Status: (X) Exempt ( ) Non Exempt
The Quality Assurance Specialist and Compliance Officer:
Will be responsible for oversight and management of quality assurance activities, requirements and internal controls.
Will ensure that agency policies and procedures are being followed, and meet the organization’s Standards of Conduct.
Will create/update/implement internal controls, policies and procedures to assure compliance with applicable laws and regulations/guidelines to prevent illegal, unethical or improper conduct and ensure that agency policies and procedures are being followed.
Will work with the Human Resources Department and others as appropriate to develop an effective compliance training program, including appropriate introductory training for new employees as well as on-going training for all employees.
Manage audits and investigation into regulatory and compliance issues and responds to requests from regulatory bodies.
Facilitate and support quality focused committees.
Quality Assurance
Duties/responsibilities will include:
- Will analyze and/or create strategies to identify and implement quality improve- ment processes throughout the organization.
- In conjunction with appropriate executive/management team will create/update policy and procedures.
- Will develop, monitor and analyze the organization processes including the collection and dissemination of data on persons served.
- Will conduct on-site inspections and audits of A.R.C. programs to determine compliance with mandated regulations. Ensures that all programs meet or surpass the promulgated standards and articles of participation under the Federal Title 19, Medicaid Program.
- Will identify critical control points and preventive measures, establishing critical limits, monitoring procedures, corrective actions, and verification procedures; monitoring inventories.
- Prepare quality documentation and reports by collecting, analyzing and summarizing information and trends including failed processes, stability studies, recalls, corrective actions, and re-validations.
- Will work closely with the various Department Heads to create/implement an effective training program, including introductory training for new hires as well as on-going training for all employees and method for tracking compliance with annual training requirement.
The Compliance Officer
- Serves as the organization’s HIPAA Compliance and Privacy Officer.
- Monitors and ensures compliance with federal, state and local regulatory require-ments. Review and evaluate compliance issues/concerns within the organization and implement internal controls, policies and procedures to ensure compliance with applicable laws and regulations and third party guidelines.
- Develops and periodically reviews and updates Standards of Conduct to ensure continuing currency and relevance in providing guidance to management and employees.
- Establishes and provides direction and management of the Compliance Hotline.
- Serves as resources regarding compliance issues and responds to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct by evaluation or recommending the initiation of investigative procedures. Develops and oversees a system for uniform handling of such violations.
- Act as an independent review and evaluation body to ensure that compliance issues/concerns within the organization are being appropriately evaluated, investigated and resolved.
- Ensures the Board of Directors, Management and Employees are in compliance with the rules and regulations of regulatory agencies, that company policies and pro-cedures are being followed, and that behavior in the organization meets the company’s Standard of Conduct.
- Monitor and report results of the compliance/ethics efforts of the company and provides guidance for the Board and Management on matters relating to compliance. Together with the Corporate Compliance Committee will implement necessary actions to ensure an effective compliance program.
- Is a final internal resource with which concerned parties may communicate after other formal channels and resources have been exhausted.
Other duties as assigned
Qualifications/Requirements
A Bachelor’s Degree in Human Services or related field.
A minimum of 5 years management experience in a non-profit organization.
Knowledge of regulatory policies of oversight agencies: OPWDD/The Justice Center, OMH, DOHMH, etc.
Familiarity with operational, financial, quality assurance and human resource procedures and regulations.
Leadership, creativity, time management skills and ability to meet deadlines.
Articulate and effective communicator, both oral and written.
Proficient computer skills, accuracy and organizational ability.
Will update job knowledge by studying trends in developments in quality management; reading professional publications; maintaining personal networks; participating in professional organizations.'
This Job Is Ideal for Someone Who Is:
- Dependable -- more reliable than spontaneous
- Detail-oriented -- would rather focus on the details of work than the bigger picture
- Autonomous/Independent -- enjoys working with little direction
Job Type: Full-time
Pay: $60,000.00 - $70,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Ability to commute/relocate:
- Brooklyn, NY 11234: Reliably commute or planning to relocate before starting work (Required)
Education:
Experience:
- Management: 1 year (Preferred)
- OPWDD: 2 years (Required)
- Quality assurance: 1 year (Required)
- corporate compliance: 1 year (Preferred)
Work Location: In person