Compliance and Quality Assurance Manager

Tempus Unlimited • Stoughton, MA

223d

About The Position

Tempus Unlimited, Inc. is a nonprofit organization that provides community-based services to empower children and adults with disabilities to live as independently as possible in the least restrictive environment. The agency, through its programs and services, encourages the inclusion of people with disabilities into the mainstream of society, including social, recreational, family and work activities. The Compliance and Quality Assurance Manager is responsible for ensuring a company's policies and procedures comply with regulatory and ethical standards. The position will direct all compliance and quality assurance-related activities, including the development and monitoring of a work plan that describes all QA activities performed each year to ensure QM principles are applied in all aspects of the service delivery system. Such plan must support the Contractor's compliance to the reporting requirements and performance standards and measures in Tempus contracts with state agencies and be approved by EOHHS and must include, at minimum, the essential functions.

Requirements

• Bachelor's Degree in business management, legal studies, business administration, project management or a similar field of study.
• At least two years' experience in developing and applying quality management principles.
• At least one year of experience in providing Vendor Fiscal/Employer Agent services to people with disabilities preferred.
• Knowledge of payroll processing including withholding, filing and payment of federal and state income taxes and employment taxes.
• Knowledge of federal and state labor laws and state worker's compensation insurance laws.

Nice To Haves

• Additional certifications in the field of compliance and administration.
• 3-5 years of experience in a professional setting, particularly in the realm of compliance.
• In-depth knowledge of industry standards, rules and regulations, management and accounting.
• Demonstrated ability delivering results and advancing privacy program maturity.
• Technical aptitude and understanding of IT systems and their connection to data collection and processing and privacy/security.

Responsibilities

• Developing, maintaining and updating written policies and procedures and ensuring internal controls are documented and in place for each task identified in the state contracts.
• Applying and interpreting audit and compliance requirements for various departments.
• Ensuring that the agency's staff are trained as appropriate and follow the policies and procedures as written.
• Design control systems to address cases of violation of internal business policies.
• Designated as the Compliance and Privacy Officer.
• Conducting internal reviews on a periodic basis to verify that staff are adhering to the policies and procedures and internal controls that are in place.
• Conducting a random sampling of the agency's financial and claims transactions to ensure compliance with all measures identified in Performance Standards.
• Conducting a match of activity forms, claims, payroll registers and PA to ensure PCAs are being paid accurately and in a timely manner.
• Reviewing Consumer records to ensure the records are complete and that current state and federal tax forms are being used.
• Ensuring staff are reviewing state and federal tax authority on a regular basis.
• Reviewing claims submissions to ensure claims reflect the services provided and are being submitted to EOHHS in accordance with Contract requirements.
• Ensuring that the Contractor has not paid PCAs who are on the OIG LEIE.
• In cases of potential fraud, conduct a review of activity forms and report any suspicion of fraud to EOHHS.
• Ensuring any suspicion of fraud is reported to EOHHS.
• Reporting on the outcomes of the work plan for quality assurance activities.
• Working with business units to understand new use cases and operational procedures for new business scenarios involving internal or external data handling.
• Interacting with external auditors on matters related to audits of the organization's internal controls.
• Performing or overseeing initial and periodic information privacy risk assessments/analysis, mitigation, and remediation.
• Ensuring ongoing measurement and auditing on overall effectiveness of the privacy program and execution of privacy policies and standards.
• Reviewing and assessing potential fraud activity and developing fraud detection tools.
• Filing regulatory reports and other documentation.
• Coordinating rollout and training of new or updated policies and directives when required.
• Building on a strategic and comprehensive privacy program that defines, develops, maintains and implements policies and processes.

Benefits

• Sign on bonus
• Referral bonus
• Work/Life Balance - flexible work schedules
• Paid time off - 25 days per year for full time staff
• 14 paid Holidays
• Tempus Wellness - Medical, Dental, Dependent Care Reimbursement, FSA and HSA
• Basic Life, Short Term and Long Term Disability
• On-site gym (Stoughton Location) and wellness initiatives
• Annual Reviews with merit based increases
• Employee Recognition Program
• Financial Wellness - 403(b) Retirement Plan with matching
• Continuing Education, Training and Advancement opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Bachelor's degree