Compliance, Quality & Risk Manager

Human Resources • Indianapolis, IN

1d

About The Position

The Compliance, Quality & Risk Manager is a hands-on, manager-level position responsible for day-to-day compliance, quality assurance, quality improvement, and risk-management activities at a single substance use disorder (SUD) treatment facility. The role focuses on execution, coordination, and monitoring in close partnership with facility leadership.

The manager oversees facility-level licensing and regulatory compliance, incident reporting and investigations, patient grievances and complaints, survey-readiness documentation, and compliance logs. The role supports Joint Commission and state inspections, promotes compliance, privacy, and quality training, and partners with facility leadership on quality-improvement initiatives. The manager serves as the facility-level subject matter expert on policy and procedure and reviews and maintains annual plans and evaluations.

The position supports facility QA/QI and QAPI programs by tracking, trending, and reporting quality, incident, and grievance data; monitoring performance against KPIs and escalating risks; assisting with corrective actions and improvement initiatives; ensuring adherence to patient rights and grievance procedures; and developing, tracking, and monitoring Plans of Correction for effectiveness. Key performance indicators include on-time licensing renewals and submissions, timely handling of incidents and grievances, improvement in facility quality KPIs, prevention of repeat deficiencies related to documentation or process failures, staff completion of compliance and quality training, and accurate, timely facility-level reporting.

Requirements

• Bachelor's degree in a healthcare-related field (required).
• 2–4 years of healthcare compliance, quality, or risk-management experience.
• Working knowledge of HIPAA, 42 CFR Part 2, and state licensing requirements.

Nice To Haves

• Experience supporting QA/QI or grievance processes.
• Behavioral health or SUD experience.

Responsibilities

• Manage facility-level licensing and regulatory compliance.
• Coordinate incident reporting and investigations.
• Oversee patient grievance and complaint intake, tracking, and resolution.
• Maintain survey-readiness documentation and compliance logs.
• Support Joint Commission and state inspections.
• Promote compliance, privacy, and quality training.
• Partner with facility leadership on quality-improvement initiatives.
• Serve as the facility-level subject matter expert on policy and procedure.
• Review and maintain annual plans and evaluations.
• Support the facility QA/QI and QAPI programs.
• Track, trend, and report quality, incident, and grievance data.
• Monitor performance against KPIs and escalate risks.
• Assist with corrective actions and improvement initiatives.
• Ensure adherence to patient rights and grievance procedures.
• Develop, track, and monitor Plans of Correction for effectiveness.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager