Job Description
Summary: Under the direction of the Chief Compliance Officer, the Quality Assurance Specialist will develop and implement quality assurance strategies to assess and improve the effectiveness of the Corporate Compliance/Quality Assurance Department.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
· Conduct comprehensive internal audits, record reviews and physical site inspections.
· Conduct thorough investigation into various types of incidents both reportable and internal, ensuring compliance with applicable oversight agencies, including OPWDD, Justice Center, OMH, OCFS, SED, OMIG, and other relevant agencies.
· Develop and improve internal controls and monitoring systems.
· Create systems to help staff follow regulatory standards.
· Support Program Directors with service delivery and compliance.
· Review audit data, identify trends, and create action plans to fix quality issues.
· Train and assist staff to improve service quality.
· Work with the Corporate Compliance Officer to develop policies for quality improvement.
· Stay updated on federal and state regulations and assess organizational performance.
· Assist program directors/managers in making necessary corrections.
· Help the Chief Compliance Officer with annual reports and trend analysis.
· Assist in agency-wide mandatory training using standardized materials.
· Additional tasks and responsibilities may be assigned.
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Education/Experience:
· Bachelor's Degree from an accredited college or university in public health administration, human services, nursing, social welfare, or a related field, with Master’s preferred
· 5+ years of experience working in an organization that provides services to individuals with special needs
· Strong clinical, management and organizational skills
· Knowledge of applicable program standards and regulations
· Proficiency in implementing and maintaining compliance standards
· Knowledge of practices concerning investigations
Additional Requirements:
· Daily access to an automobile is required.
· A valid NY State Driver’s License and ability to drive and driving record acceptable for agency insurance coverage are required.
· Must be cleared/maintain acceptable record under NY state mandated criminal background check process
· Must be clear and maintain an acceptable record under the Medicaid Fraud & Abuse clearance process.
· On-going training/education as part of development related to position. Programs are regulated by OPWDD, OMH, OCFS, SED, DOH and NYS Justice Center.