Position Overview 

The role of the Compliance Manager is a part of the leadership team to ensure programs adhere to the highest quality of clinical and contractual standards. This role will operate from a place of inclusion and respect for equality, earn trust through honest relationships; demonstrate integrity and inspire and empower positive change.

Knowledge, Skills, and Abilities

The most important knowledge, skills, and abilities (KSAs) are listed below for the Compliance Manager: 

Knowledge:

• Experience conducting qualitative and/or quantitative research
• Knowledge of CINS/FINS and DCF statutes, rules, and regulations
• Knowledge of process development and improvement
• Knowledge of accreditation process and practice 

 Skills: 

• Excellent oral and written communication skills
• Excellent conflict resolution skills
• Excellent problem solving, critical thinking, and analytical skills
• Proven leadership skills
• Excellent presentation skills
• Proficient level of computer skills in Word and Excel
• Detail-oriented

 Abilities: 

• Ability to combine pieces of information to form general rules or conclusions
• Ability to review marketing data and conclude effectiveness and trends
• Ability to encourage others towards common and individual goals

 Position Duties and Responsibilities 

Occupation specific tasks and the most important generalized work activities are listed for Compliance Manager:

• Agency Operations. Collects and compiles internal and external audits, agency data collection and other pertinent information in a secure and consistent manner. Plans, conducts, and monitor program reviews to ensure quality and contractual compliance. Update all program policies annually, ensure the leadership team is aware of any changes, and facilitate training as needed for program staff to ensure full compliance of all policies. 

• QA Process. Serves as the Risk Manager for the agency and coordinates and participates in monthly and quarterly team meetings. Prepares quarterly reports and analysis to communicate outcomes of quality activities to executive leadership and board members as requested. Develop, or assist in the development and implementation of, quality assurance and compliance processes. Ensure that data processes and agency policies comply with external funding sources and state and federal regulatory entities. Investigates consumer complaints and non-performance issues. Provides clinical expertise as needed for continual quality improvement and enhancements of counseling services. Chair and coordinate the Quality Improvement Committee.

•  Agency Support. Review progress toward the quality assurance plans regularly with management to make modifications as necessary. Review incident reports and incident reporting processes and provide training and technical assistance on such to staff as needed. Participates in clinical oversite of counseling programs, as related to quality of service, in coordination with licensed supervisors and directors within the agency. Develops, recommends, and monitors corrective action plans as needed.

• Accreditation and Annual Review. Coordinate, support, and participate in onsite audits conducted by external providers. Responsible for taking the lead in the Council on Accreditation (COA) reaccreditation process every four (4) years and all annual reporting requirements. Responsible for taking lead in the Florida Network and, DCF annual relicensing process and other funders as required. Monitor, evaluate, and execute audit processes to ensure compliance. Responsible for understanding the funder requirements and expectations.

• Data Analyst. Create systems for program data collection, contract compliance, clinical excellence, and quality improvement processes. Analyze data collected from internal and external audits to identify areas for improvement in the quality systems to assure ongoing compliance with quality standards and contractual requirements. Participate in root cause analysis processes with staff to identify areas of quality improvement and corrective designs. Completes contract renewals and provides data to leadership for reporting. 

• Training. Identifies training needs, develops a training protocol, and ensures timely compliance for contractual obligations, in conjunction with the HR Assistant and Training Specialist. Gains training certifications (Train the Trainer) as needed and assists with internal staff training as requested. Coordinate and maintain annual list of Emergency Disaster Plan teams to ensure shelters have coverage regardless of agency closure. Complete all necessary required training.

Education and Experience

Master’s degree in social work, Public Health, Mental Health Counseling, Public Administration, or other approved area. State of Florida licensure in Social Work or Mental Health is required. Preferred with five (5) years’ experience working in Human Services, preferably in the Non-Profit sector. At least one (1) year of management experience required. Experience related to program evaluation and improvement. Knowledge of DJJ or DCF residential programs is helpful.

Mathematical Skills and Reasoning Ability

Incumbent must have basic or advanced computational and or analytical skills.

Physical Skills