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.