Director of Compliance & Quality Daystar Kids - 2.5 Rochester, NY Job Details Full-time $85,000 - $95,000 a year 1 day ago Benefits Health savings account Paid holidays Health insurance Dental insurance 401(k) Flexible spending account Paid time off Employee assistance program Vision insurance Life insurance Qualifications Quality control corrective actions Incident investigation techniques for hazard identification Regulatory inspections Defect resolution root cause analysis Quality of care (regulatory compliance area) Healthcare Administration Corrective and preventive actions (CAPA) Internal investigations Compliance management implementation Compliance management Quality assurance Bachelor's degree Public Health Social service program quality assurance Health policy Human Services Healthcare regulatory compliance policy development Business Administration Quality control communication Root cause analysis Policy Development Audit support Quality assurance experience within healthcare Full Job Description About the Role This is a newly built role. Daystar Kids is not looking for someone to maintain an established compliance program. We are looking for a leader who can assess where we are exposed, design the program, put the necessary systems in place, test whether they work, and make them durable enough to support responsible growth. We know the first priorities. Identifying what else must be built is also part of the job. The Director of Compliance and Quality is Daystar Kids' designated Compliance Officer, reports directly to the Chief Executive Officer, serves on the leadership team, chairs the internal Compliance Committee, and has a dotted-line relationship to the Board for compliance oversight. Daystar Kids is accountable to the New York State Office of Children and Family Services, the Office for People With Developmental Disabilities, the New York State Department of Health, and applicable federal requirements. What You Will Build

• A clear picture of where we are exposed. Conduct an organization-wide risk assessment covering child health and safety, program operations, workforce practices, billing and documentation, grants and contracts, privacy, incidents, governance, and required reporting. Explain the findings in language leaders can act on.
• A risk framework and mitigation approach. Establish a consistent way to identify, rate, assign, monitor, and re-review risk. Maintain one register of open risks, findings, and corrective actions with named owners, deadlines, and clear escalation thresholds.
• Regulatory command and readiness. Develop working command of OCFS licensing, OPWDD funding and audit requirements, Department of Health requirements, and applicable federal standards. Build a reliable calendar for audits, inspections, certifications, attestations, and reports.
• Staff training that changes practice. Create role-specific, plain-language compliance education for staff who work directly with children. Track required training and verify through observation, monitoring, and record review that staff can carry it out.
• Monitoring, correction, and reporting. Run scheduled internal reviews using evidence rather than assurance. Issue clear findings, lead root cause analysis, track corrective actions through verified closure, and provide concise reports showing trends, overdue items, and decisions needed. What You Will Own
• Compliance program design and regulatory readiness. Build the written compliance program, Standards of Conduct, annual work plan, policy review cycle, audit calendar, and annual effectiveness review. Prepare Daystar Kids before external reviews and coordinate responses when findings occur.
• Auditing and corrective action. Design risk-based reviews across program, clinical, administrative, billing, grant, workforce, privacy, safety, and documentation functions. Write findings that name the requirement, evidence, risk, owner, due date, and corrective action.
• Incidents, complaints, privacy, and investigations. Maintain confidential reporting channels and the incident management process. Ensure concerns reach the correct authority on time, records are preserved, investigations are fair, and patterns lead to system improvements.
• Policies, training, and workforce controls. Maintain the policy inventory, version control, approval process, training matrix, and acknowledgment records. In partnership with Human Resources, test whether required licenses, clearances, health requirements, and exclusion screenings are current.
• Billing, grants, contracts, and documentation. Monitor the controls supporting OPWDD, Medicaid, grants, contracts, donor restrictions, and other funded work. Test whether attendance, authorizations, service notes, time records, invoices, and reports are complete, timely, and supported.
• Quality management and leadership reporting. Connect compliance findings with child and family experience, program outcomes, incidents, complaints, workforce readiness, and operational reliability. Validate the data and provide decision-ready reports to the Chief Executive Officer and leadership team. First Year Priorities First Ninety Days
• Assess and organize. Complete the initial compliance and quality risk assessment, regulatory obligations inventory, and consolidated audit and reporting calendar.
• Take control of open risk. Assume oversight of any active audit, inspection, finding, or corrective action. Establish one central register for risks, incidents requiring management review, complaints, corrective actions, owners, deadlines, and escalation status.
• Launch the program. Confirm reporting pathways, establish confidential reporting channels, convene the Compliance Committee, and present a prioritized twelve-month work plan and dashboard design to the Chief Executive Officer. By Six Months
• Operate a repeatable monitoring cycle. Complete scheduled reviews, issue written findings, support root cause analysis, assign corrective actions, and verify closure through retesting.
• Strengthen staff readiness. Publish the approved Standards of Conduct and implement dependable tracking and escalation for training, credentials, clearances, health requirements, policy acknowledgments, and exclusion screening.
• Report what leadership needs to know. Deliver recurring compliance and quality reports that show risk trends, overdue items, repeat findings, and decisions needed. By Twelve Months
• Demonstrate effectiveness. Complete the first annual compliance work plan and a written assessment of results, unresolved risks, repeat findings, and next-year priorities.
• Show measurable improvement. Improve audit readiness, documentation quality, training completion, policy currency, and the recurrence rate of preventable findings.
• Leave a durable system.

Deliver an integrated compliance and quality framework that can scale with enrollment, programs, funding, payer relationships, and regulatory responsibilities. How This Role Works Department leaders remain accountable for compliant day-to-day operations, accurate source records, staff follow-through, and timely corrective action in their areas. The Director verifies, reports, escalates, and improves those systems without taking over Human Resources, finance, clinical leadership, or daily center operations. The position has no direct reports initially, works primarily on site in Rochester, and includes occasional local travel. Urgent compliance or incident matters may require attention outside regular hours. What You Will Bring Required

• Bachelor's degree in compliance, health care administration, public health, business administration, human services, quality management, nursing, law, or a related field. Equivalent education and experience will be considered.
• Five or more years in regulated health care, early childhood, disability services, human services, education, or nonprofit setting, including direct experience responding to a State audit, survey, or licensing inspection.
• Three or more years of direct responsibility for compliance, quality assurance, auditing, investigations, risk management, or corrective action.
• Experience building or substantially rebuilding a compliance or quality function, not only administering an established one.
• Track record of turning regulatory requirements into policies, monitoring tools, and expectations that staff can actually follow.
• Audit and corrective action experience. Ability to conduct internal reviews, write clear findings, lead root cause analysis, and verify that corrective actions are sustained.
• Independent judgment and clear communication. Ability to elevate material concerns, handle confidential matters with discretion, and translate complex requirements for staff, leaders, regulators, funders, families, and Board members. Preferred
• Direct experience with OCFS licensing inspections and with OPWDD audits.
• Experience in a setting serving children with complex medical needs or combining health care and education under one roof.
• Compliance or quality certification such as Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), Certified Compliance and Ethics Professional (CCEP), or Certified Professional in Healthcare Quality (CPHQ). We will support certification for the right candidate who does not yet hold one.
• Broader regulatory experience. Experience with Medicaid or managed care billing compliance, grant and government contract compliance, education requirements, nonprofit governance, privacy, or information security. What We Offer
• Salary of $85,000 to $90,000 annually commensurate with experience.
• Benefits include health, dental, and vision coverage; retirement benefits; paid time off; and paid holidays.
• A defined budget for compliance training, professional certification, and reference resources.
• Protected time in your first ninety days to study the requirements that apply to us.
• Direct, standing access to the Chief Executive Officer, including a weekly one to one, and visible executive sponsorship for the work.
• The chance to build something from the beginning, at an organization where the work visibly protects children.

Job Type:

Full-time Pay:

$85,000.00 - $95,000.00 per year

Benefits:

401(k) Dental insurance Employee assistance program Flexible spending account Health insurance Health savings account Life insurance Paid time off Application Question(s): Can you show proof of the required vaccines: Hep B, TDAP, Varicella, MMR, Flu?

Education:

Bachelor's (Required)

Experience:

Compliance management: 3 years (Required) Quality assurance: 5 years (Required)

Work Location:

In person