Compliance & Quality Analyst

ALLIANCE HEALTHCARE SERVICES, INC•Memphis, TN

10d

About The Position

The Compliance & Quality Analyst assists the Compliance Manager in ensuring licensure requirements are met, maintaining accreditation, and monitoring the quality and outcomes of all clinical programs. The role has no supervisory responsibility and works with Alliance leadership, supervisors, employees, and other shareholders to support the agency’s mission and compliance and quality efforts. The analyst monitors external and internal requirements; supports policy development, staff training, audits, incident reviews, complaint analysis, clinical onboarding, and internship processes; and reviews program outcomes and client satisfaction data. The position also contributes to quarterly and annual reporting and is expected to maintain professionalism, confidentiality, dependability, and effective working relationships.

Requirements

Minimum of three years of healthcare practice experience.
Healthcare software experience.
Knowledge of reimbursement systems.
Knowledge of federal, state, and payer-specific regulations and policies related to mental health documentation, coding, and billing.
Strong interpersonal and problem-solving skills.
Excellent written and oral communication skills.
Maintain confidentiality and effective working relationships.

Nice To Haves

Healthcare-related graduate degree; equivalent experience may be considered.

Responsibilities

Maintain working understanding of and compliance with CARF, CCBHC, state licensure, CMS, OIG, and contract requirements for the agency.
Attend TAMHO Compliance and Quality Committee meetings as requested.
Operate in accordance with the Alliance Strategic Plan, Compliance Plan, and Quality Plan.
Serve on internal compliance- and quality-related committees as requested, potentially including policy and incident review committees.
Assist with creating agency policies and develop Standard Operating Procedures for new policies; train supervisors and staff on current and newly developed policies.
Complete agency-wide, multifaceted Quality Audits, including chart reviews, supervisor interaction, staff feedback, and review of phone call recordings; analyze and report on internal audits.
Participate in external audits as requested, including audits involving CARF, MCOs, licensure, and THL; analyze and report on external audits.
Complete and analyze agency-wide Incident Reviews within 72 hours of receipt, except reportable incidents, which must be completed and reported to the State within 24 hours of receipt.
Review client and shareholder complaints and analyze and report on trends.
Complete agency-wide and staff-specific training, which may include Title VI, SafeClinch, Therapeutic Options, Customer Service, and safety training.
Collaborate with supervisors to provide site- or staff-specific, data-driven training and document it consistently.
Complete clinical onboarding for Crisis, Outpatient, and Housing staff, including delivering training, assigning trainers or mentors, and reviewing and filing training documentation.
Oversee clinical internships for Crisis, Outpatient, and Housing, including candidate and HR correspondence, documentation review, supervisor assignments, monitoring internship experience, and job placement when relevant.
Review client data to monitor outcomes and trends across programs and report findings as requested.
Monitor completion of and analyze client satisfaction surveys, including NOMs, TOMs, and MHSIPs, and report results to TAMHO regularly.
Participate in developing quarterly and annual reports for employees and external shareholders.
Meet Alliance standards of professionalism, including punctuality, dependability, professional appearance, constructive response to feedback, appropriate stress management, and cooperation with others.
Maintain confidentiality of information obtained through the role and refrain from gossip or sharing information.
Perform other duties as assigned.
Maintain effective working relationships with Alliance leadership, supervisors, employees, and other shareholders.