Compliance Specialist

Position Summary The Director of Quality Assurance & Compliance is responsible for ensuring the organization maintains compliance with all state, federal, Medicaid, licensing, accreditation, and contractual requirements. This position oversees quality improvement initiatives, conducts internal audits, manages compliance systems, and ensures all program documentation, staff training, and operational practices meet regulatory standards. The Director of Quality Assurance & Compliance works closely with executive leadership, program directors, clinicians, and house managers to support high-quality services and successful outcomes for clients. Essential Duties & Responsibilities Compliance & Regulatory Oversight Maintain compliance with all licensing, Medicaid, DHHS, DSPD, DCFS, CARF, and contractual requirements. Monitor regulatory changes and implement necessary policy and procedure updates. Ensure all organizational practices align with applicable laws, regulations, and accreditation standards. Serve as the primary point of contact for audits, surveys, reviews, and compliance visits. Quality Assurance Develop and implement quality assurance systems across all programs. Conduct regular internal audits of client records, employee files, medication records, incident reports, and service documentation. Track corrective action plans and ensure deficiencies are resolved promptly. Prepare monthly quality assurance reports for executive leadership. Accreditation & Licensing Coordinate and manage accreditation activities, including CARF preparation and maintenance. Ensure licensing requirements remain current and in compliance. Maintain documentation required for accreditation, licensing, and certification reviews. Documentation & Chart Audits Review clinical and program documentation for completeness, accuracy, and compliance. Audit treatment plans, assessments, progress notes, incident reports, service logs, and discharge documentation. Provide feedback and corrective guidance to staff regarding documentation requirements. Staff Training & Personnel Compliance Track employee training, certifications, background screenings, and credentialing requirements. Maintain training records and ensure staff complete required trainings within required timeframes. Coordinate annual compliance training and policy reviews. Assist supervisors in identifying and addressing compliance concerns. Policy & Procedure Management Develop, revise, and maintain organizational policies and procedures. Ensure policies remain current with state and federal regulations. Train staff on policy changes and compliance expectations. Incident Management Review incidents, grievances, complaints, and critical events for compliance concerns. Monitor trends and implement quality improvement measures. Ensure timely reporting to regulatory agencies when required. Quality Improvement Lead quality improvement initiatives throughout the organization. Collect and analyze performance data. Identify opportunities to improve service delivery, compliance, and client outcomes. Facilitate quality assurance and quality improvement meetings. Collaboration & Leadership Work collaboratively with executive leadership, clinicians, program managers, and direct care staff. Provide compliance guidance and support to all departments. Assist with new program development, licensing applications, and operational expansion. Qualifications Bachelor's degree in Healthcare Administration, Social Work, Psychology, Human Services, Business Administration, or related field preferred. Experience working in behavioral health, residential treatment, child welfare, mental health, developmental disabilities, or healthcare services preferred. Knowledge of Medicaid, licensing, accreditation, and regulatory compliance standards preferred. Strong organizational, auditing, and documentation skills. Ability to manage multiple projects and deadlines. Excellent written and verbal communication skills. Proficient in Microsoft Office, Google Workspace, and electronic documentation systems. Knowledge, Skills & Abilities Strong attention to detail. Ability to interpret policies, regulations, and contractual requirements. Ability to conduct audits and identify compliance risks. Strong problem-solving and critical-thinking skills. Ability to maintain confidentiality and professionalism. Ability to work independently while collaborating with leadership and staff. Physical Requirements Ability to sit, stand, walk, and use a computer for extended periods. Ability to travel between program locations as needed. Ability to occasionally lift up to 25 pounds. Work Environment This position operates in a professional office environment with regular interaction across residential, clinical, and community-based programs. Occasional travel to program sites, meetings, audits, and trainings may be required.

Reports To:

Executive DirectorSupervises:

Quality Improvement Activities, Compliance Processes, and Regulatory Readiness Across All Programs Pay:

$20.50 - $26.00 per hour

Work Location:

Hybrid remote in Clearfield, UT 84015