Office of General Council - Vice President, Agency Compliance

Program Overview: 

This position sits within the Agency’s Office of General Counsel, with at least monthly direct reporting to the Agency’s CEO/President, and quarterly reporting to the Compliance Committee of the Agency’s Board of Directors, with regard to agencywide risk assessment matters.

Position Overview:

The person filling this position is expected to ensure appropriate and effective monitoring of existing procedures of program operations and delivery of services from both legal and regulatory compliance and quality assurance frameworks. This includes but is not limited to, collaborating with all levels of management and documenting program compliance and effectiveness, and initiating an agencywide risk assessment and quality improvement plan.

Quality & Regulatory Management

• Conduct internal program audits and risk assessments to ensure compliance with regulatory standards and assist in establishing methods to improve program’s efficiency and quality of services, as well as reduce vulnerability to fraud, waste and abuse.
• Ensure funder and/or oversight entity program operational requirements are adhered to and collaborate with management on the provision of quality services. Conduct site visits and workshops, which may include observing staff interaction with participants such as intakes, service plan creation, and reviewing case files for completeness, accuracy, and compliance.
• Record, aggregate, analyze and report results of program activity audits, identifying trends and root causes, and making recommendations for program or performance improvements.
• Identify gaps in program and staff performance and recommend, develop and/or conduct staff training to cure deficiencies and reiterate standards and enhance service practices.
• Create Standard Operating Procedures (SOPs) and/or Desk Guides for new and existing programs as needed.
• Assist with external audits conducted by funders and third-party auditors.
• Report, escalate and/or investigate matters related to the program compliance, independent of any program interest in protecting its billing outcomes, including designing and coordinating internal investigations, and documenting, reporting, coordinating and pursuing any resulting correction action.
• Meet with the senior staff of programs under review to discuss any findings and implement changes and work collaboratively with program department management, external agencies and stakeholders to support compliance efforts and monitor remediation (Corrective Action) activities.

Reporting & General Administration

• Develop and maintain an annual report that provides an agency wide risk assessment, in at least general terms, as well as a thorough description of CAMBA’s Quality Assurance activities with an established Quality Improvement Plan (QIP) model.
• Develop and implement quality assurance tools to measure and assess the impact of systems, policies and protocols on operational efficiencies and program effectiveness.
• Prepare monthly and/or quarterly reports as appropriate for Senior Leadership and regulatory bodies.
• Report directly on a regular basis but no less frequently than quarterly to CAMBA’s board-level Compliance Committee, including to CAMBA’s CEO/President and the Board Member Compliance Committee Chair.
• Participate in team meetings.
• Communicate with peers on agency-wide issues and best practices.
• Lead and/or participate in special projects related to areas of oversight as needed.
• Ensure the accuracy and timeliness of all weekly/monthly/quarterly/semester/annual reports and statistical information required for each department as needed for both CAMBA Executive Staff and funders.
• Build (and encourage staff in building) open, honest, trustworthy relationships with referral sources, clients, staff, peers, funders, outside agencies, and the community.
• Confer with Chief Legal Officer and CEO/President, as well as CAMBA Executive/Leadership Staff for programs and departments under review, as needed regarding legal and regulatory compliance and quality assurance matters.
• Immediately reports to immediate supervisor and/or other appropriate CAMBA Executive Staff as needed regarding any monitoring visits, funder events, other significant events, and any incident that might subject CAMBA to liability.
• Comply with all Federal, State, City and CAMBA security and privacy polices intended to protect the security and privacy of CAMBA proprietary information, client and staff personal identifiable information (PII) and personal health information (PHI).
• Other duties as assigned.

What Are the Results Expected to Be Achieved:
The person filling this position is responsible for achieving the following results:

Outputs:
• Presentations will be made to CAMBA Executive Staff and to CAMBA Board of Directors on a regular basis.
• An agencywide Risk Assessment will be initiated, and targets set for regular monitoring work.
• Quality Assurance activities within all CAMBA programs and departments will be initiated and/or advanced, and targets set for regular monitoring work (e.g., a Quality Improvement Plan).
 

Performance Targets:
•95% of staff will demonstrate compliance with funder requirements.

Education, Licenses and/or Certifications Required:

• Bachelor’s Degree in public health, public administration, human services, or a related field.

Minimum Experiences and Skills Required:

• Five years of progressively responsible experience relating to quality assurance and regulatory compliance in human services environments.
• Exceptional organizational skills and keen attention to detail and accuracy with an ability to manage multiple projects, prioritize work, manage timelines, and report on activities.
• Strong presentation and report creation experience.
• Ability to provide effective resolutions for complex issues.
• Demonstrated track record of effective interpersonal and collaboration skills.
• Advanced software skills, including MS Excel, MS PowerPoint, MS Forms and Visio.

Preferred Qualifications:

• Master’s Degree in public health, public administration, human services, or a related field.
• Experience working in or with non-profit organizations, and/or city or state entities.

Pre and/or Post Employment Requirements:

• General pre- and post-employment verifications include professional references, work experience, degree verification, and criminal background checks.

Salary : $120,000 - $135,000