DIRECTOR OF QUALITY & COMPLIANCE

Apis Services Inc•Pittsburgh, PA

1d•$90,000 - $115,000

About The Position

The Director of Quality & Compliance for Pennsylvania provides consultation and technical assistance to specific programs within the Abraxas Youth & Family Services (AYFS) division regarding licensing, contractual, and accreditation compliance, policy development/implementation, data collection/analysis, best practice transfer, and the implementation of an effective process for on-going monitoring and evaluation of programs. This person is also responsible for ensuring licensing, contractual, and accreditation compliance for his/her assigned programs.

Requirements

Master’s degree in social sciences, healthcare or related field and five years of quality and compliance experience or bachelor’s degree in social sciences, healthcare or related field and seven years’ quality and compliance experience.
Residential experience in behavioral health.
The Joint Commission (TJC)
Extensive hands-on experience preparing residential behavioral health programs for Joint Commission accreditation and re-accreditation surveys, including mock tracers, standards interpretation, documentation audits, readiness planning, and corrective action plan (CAP) development.
Demonstrated mastery of Behavioral Health Care (BHC) standards, including Leadership, Environment of Care, Emergency Management, Infection Control, Patient and staff rights, Workplace violence prevention, Human Resources, and Documentation.
Proven ability to lead programs through survey remediation, implement sustainable compliance frameworks, and conduct internal tracer methodologies to maintain continuous accreditation readiness.
PREA (Prison Rape Elimination Act) Compliance
Advanced expertise in administration and implementation of PREA standards applicable to juvenile residential environments, including staffing plan reviews, background screening and hiring requirements, staff training, youth education protocols, incident response procedures, and sexual safety audits.
Experience leading annual PREA audits and corrective action management, including policy alignment, facility walkthrough preparation, documentation compilation, evidence submissions, corrective action tracking, and coordination with DOJ-certified PREA auditors.
Proven ability to operationalize PREA compliance across multidisciplinary teams while strengthening youth safety culture and risk-mitigation practices.
Pennsylvania OCYF Regulatory Expertise
Specialized knowledge of the Pennsylvania Office of Children, Youth and Families (OCYF) licensing regulations under 55 Pa. Code Chapters 3800 and related subchapters for secure and non-secure residential programs.
Demonstrated experience preparing for and managing OCYF inspections, announced and unannounced site visits, compliance investigations, licensing renewals, complaint responses, and CAP negotiations.
Ability to effectively supervise employees.
Knowledge of and the ability to teach the principles, concepts, and tools to monitor and evaluate programs (e.g., SPSS, TQM).
Ability to understand, interpret, and teach the application of licensing regulations, accreditation standards, and contractual language.
Knowledge of the principles and practices related to the treatment of delinquent and dependent youth.
Ability to formulate and/or revise policies that meet licensing, contractual, and accreditation standards.
Ability to communicate effectively, both orally and in written form, with a diverse group of people including regulatory agency representatives, employees, clients, governing body members, and the public.
Must be available for periodic travel, to include overnight stays.
Must have computer skills that include word processing and spread sheet/graphic development.
Must be at least twenty-one (21) years of age.
Must have a valid driver's license.

Nice To Haves

Familiarity with the state of Colorado and Ohio residential licensing requirements - preferred.

Responsibilities

Ensures licensing, contractual, and accreditation compliance, in conjunction with the quality & compliance specialist, program director, and leadership team.
Works with the quality & compliance specialist and program directors to prepare for licensing inspections, contractual reviews, and accreditation surveys.
Reviews all action plans to address licensing, contractual, and accreditation citations or areas of non-compliance before submission to ensure quality and consistency; monitors the implementation of action plans to ensure compliance.
Conducts an annual internal audit to ensure program practices meet licensing, contractual, and accreditation requirements; lead team member during the departmental audits that occur within the division.
Provides effective supervision to the quality & compliance specialist in his/her assigned programs, providing technical assistance and education on licensing, contractual, and accreditation standards.
Develops monitoring systems with the program's quality & compliance specialist to ensure licensing, contractual, and accreditation compliance and consistent implementation of program and divisional policies, procedures, and protocols.
As needed, prepares meeting agendas, coordinates meetings, maintains meeting minutes, and develops other documentation related to on-going monitoring and evaluation of the program.
Collects and maintains data; prepares reports, data displays, charts, graphs, and other illustrations.
Provides technical assistance and education to the program staff on licensing, contractual, and accreditation standards, including as-needed in-service training regarding the implementation of licensing, contractual, and accreditation standards.
Develops and maintains the AYFS operational policy & procedure manual; ensures that each program maintains a policy and procedure manual.
Participates in various internal and external committees/projects; assuming a lead role on some committees/projects.
Works with programs to implement divisional process improvements, evidence-based curricula, and program procedures/protocols.
Provides technical assistance to AYFS Development Department by working on RFP's.
Provides technical assistance and education to employees of the AYFS administrative office.
Communicates Effectively
Utilizes effective written and verbal communication skills
Effectively structures and facilitates meetings and training activities
Maintains confidentiality of information as it relates to personnel and client information
Communicate effectively and professionally with a diverse group of people including clients, employees, governing body members, contracted staff, licensing agency representatives, and the public.
Demonstrates Professionalism in Performance of Job
Implements and mentor’s employees regarding Abraxas Youth & Family Services Division policies on professional expectations, code of conduct, and other practices and procedures
Serves as a role model for clients and other employees
Supports the company's mission, goals, and objectives
Demonstrates effort in professional development for self and others
Performs other duties as assigned