Director of Compliance and Quality Assurance

Volunteers of America Upstate NY•City of Rochester, NY

1d•$80,000 - $85,000•Hybrid

About The Position

This position is responsible for the quality assurance and compliance functions of agency program operations and leads the agency’s accreditation readiness efforts, including the Council on Accreditation (COA) process. The position ensures compliance with accreditation standards, licensure requirements, contractual obligations, applicable laws and regulations, and internal policies. Responsibilities include identifying compliance risks, coordinating internal audits and corrective actions, developing compliance training, supporting continuous quality improvement, and communicating with agency leadership, outside funders, regulators, and accrediting organizations. The position supports internal investigations in accordance with the responsibilities described below. This job description may not be inclusive of all assigned duties, responsibilities, or aspects of the job and may be amended at any time at the sole discretion of management. Based on program/department needs, your schedule may be subject to change.

Requirements

Valid driver’s license and ability to meet agency driving standards.
Ability and willingness to obtain required or agency-designated accreditation and compliance certifications within the first year of employment.
Ability to maintain confidentiality, exercise sound judgment, manage competing priorities, and coordinate complex compliance and quality-improvement activities.
Excellent written and verbal communication, analytical, organizational, project management, and computer skills.
Ability to work effectively with executive staff, directors, program managers, outside funders, regulators, accrediting organizations, and employees across programs and departments.
Associates degree from an accredited college and at least four years of related experience in compliance, quality assurance, accreditation, program administration, human resources, human services, or a related field, required.

Nice To Haves

Experience interpreting and applying accreditation standards, regulatory requirements, contractual obligations, and organizational policies, preferred.
Bachelor's or master's degree in a relevant field, preferred.

Responsibilities

Interact (verbally and non-verbally) with all clients, staff and community members with respect and courtesy.
Collaborate extensively with executive staff, directors, program managers, and other agency leaders, and represent the agency in significant interactions with outside funders, regulators, and accrediting organizations, including OCFS, OTDA, BOP, and other applicable oversight entities.
Maintain client and staff confidentiality in compliance with Administrative Policies and Procedures and Program Policies and Procedures.
Maintain working knowledge of accreditation, regulatory, licensure, and contractual standards applicable to agency programs, including requirements associated with COA, Housing and Urban Development (HUD), Bureau of Prisons (BOP), Office of Children and Family Services (OCFS), Office of Temporary and Disability Assistance (OTDA), and the Child and Adult Care Food Program (CACFP).
Obtain required or agency-designated accreditation and compliance certifications within the first year of employment, including NAEYC, ACA Surveyor, and PREA Coordinator certifications, as applicable.
Lead and oversee the agency’s COA accreditation process and other assigned accreditation activities. Coordinate accreditation planning, standards review, applicability determinations, gap assessments, evidence development, corrective and improvement actions, readiness monitoring, communications with accrediting bodies, and schedules and deliverables with executive leadership, program directors, managers, and other responsible staff.
Following required certification within the first year of employment, serve as the agency Prison Rape Elimination Act (PREA) Coordinator; coordinate PREA compliance efforts and audits; conduct or coordinate investigations as required; and complete the annual report for publication on the agency website.
Prepare and distribute continuous quality improvement reports by collecting, analyzing and summarizing information and trends. This includes all administrative incident reports and client grievances.
Draft policy and procedures in accordance with accreditation standards, licensure requirements, contract obligations, or changes in law and submit to the SVP of Programs and SVP of Agency Advancement for approval. This includes all program policy and procedure manuals and the administrative policy and procedure manual.
Ensure manuals, client handbooks, and intake packets for licensed and accredited programs as well as the Administrative Policy and Procedure Manual are updated and distributed annually.
Ensure adherence to accreditation standards, licensure requirements, contract obligations, or changes in law through development of a quality assurance plan approved by Executive Leadership.
Ensure compliance through monthly inspections of licensed, accredited, and contracted programs.
Develop and maintain an evidence of compliance binder for all applicable programs and create corrective action plans for programs failing standards.
Develop and maintain a compliance calendar for staff credentials and clearances.
Serve as Corporate Compliance Officer. Prepare annual report to CEO and Board of Directors of all efforts related to corporate compliance.
Arrange, participate in, and implement, as directed, conferences and committee meetings.
Perform assigned duties as it relates to Volunteers of America chartering standards.
Complete and maintain OSHA 300 logs in cooperation with Human Resources, the Senior Vice President of Operations, and program directors, as needed.
Responsible for monitoring and assisting the SVP of Operations and VP of Human Resources on incident reporting and root cause analyses.
Support internal investigations while maintaining clear role boundaries with Human Resources and program leadership. Human Resources leads investigations involving discrimination, harassment, workplace violence, and other HR matters and may request support from this role. Program-related investigations are normally completed by the applicable program director, with assistance from this role when appropriate. This role may be asked to lead a program-related investigation when the program director is named in the matter, has a conflict of interest, or when agency leadership determines independent compliance oversight is appropriate.
Perform other duties as assigned.