Healthcare Quality & Compliance Manager

Job Description

Job Description

Position: Quality and Compliance Manager

Potential for Director-level promotion after a minimum of two years, contingent on performance.

Position Summary:

Leads Agency-wide quality performance improvement assuring continued focus on quality metrics and regulatory compliance. Provides leadership in policies and procedures.

Duties/Responsibilities:

• Determines areas of focus for quality and performance improvement initiatives. Collects data to determine trends and plan appropriate responses.
• Works with staff to ensure compliance and proactive approach to guarantee constant regulatory preparedness. Involved with creating a system for annual training and education.
• Provides oversight and leadership within Quality Department.
• Plans, evaluates, and improves the efficiency of processes and procedures to enhance speed, quality, efficiency, and output.
• Establishes and maintains relevant controls and feedback systems to monitor the operation of the Quality Department.
• Reviews performance data that includes quality, performance, and satisfaction reports. Monitors and measures productivity, goal achievement, and overall effectiveness.
• Completes required reporting requirements for all Agency programs.
• Collaborates with Executive Team to solve operational problems and to improve services.
• Works with Executive Team for development and implementation of policies, procedures, and practices designed to ensure compliance with contract requirements; oversight of Regulatory Compliance Committee; and enforcement of standards and procedures for routine internal monitoring and auditing of compliance risks and response to compliance issues.
• Supports achievement of Agency mission, vision, and reflects its values in work behavior.
• Performs all other duties as assigned.

Education and Experience:

• Bachelor’s degree in related field preferred.
• Equivalent training and experience required.
• At least five years of human services experience working with disabled and elderly population preferred. Knowledge of AAA program standards and requirements.
• Knowledge of ACLS and MI Choice Waiver programs preferred.
• General healthcare knowledge.
• Program or Project Management experience.

Required Skills:

• Flexible and adaptable in various situations and when interacting with many different personalities.
• Detail-oriented and professional.
• Proficient in Microsoft Office Suite.
• Ability to analyze and diagnose problems and work independently to solve.
• Excellent written and verbal communication skills.
• Ability to work well with and respond to questions from all levels of internal management and staff, as well as providers, and members of the general public.
• Ability to interpret regulations and standards to staff and vendors.
• Able to define problems, collect and analyze data.
• Ability to exercise discretion and independent judgment with respect to matters of significance with limited direction.
• Capacity for strong organizational skills and ability to work on various projects at one time.