Quality and Compliance Director

Gesher Human Services•Southfield, MI

14h

About The Position

Gesher Human Services is a bridge to hope and opportunity for people at work, at home, and in the community. Gesher’s workforce development, behavioral health, and inclusion programming serves all Metro Detroiters while meeting the needs of the Jewish community. GENERAL JOB DESCRIPTION The Quality and Compliance Director is responsible for establishing standards and implementing procedures to ensure that the compliance and ethics program is effective and efficient in identifying, preventing, detecting, and correcting noncompliance with applicable laws and regulations. The Quality and Compliance Director provides compliance training to all departments and the board members. The Quality and Compliance Director reviews reports and both internal/external audits to assess whether company policies meet or fall outside regulatory compliance requirement. The Quality and Compliance Director ensures that the organization maintains high standards of quality and continuous improvement.

Requirements

Bachelor’s degree required
Minimum of 5 years experience as a compliance officer, quality manager, auditor or similar position; or, an equivalent combination of education and experience sufficient to successfully perform the essential duties of the job.
A high degree of organization, independence, and the ability to interact with others effectively at all levels in the organization.
Working knowledge of relevant local, state and federal laws and the related requirements of licensing, accrediting and regulatory organizations such as CARF, DOL, CMS, OSHA, OIG and various funders.
Composition skills sufficient to prepare required reports and correspondence.

Responsibilities

Develop and implement the Compliance and Ethics Program for the Agency.
Prepare an annual report to the Board describing general compliance efforts undertaken during the preceding year, identifying any changes necessary to improve the Compliance and Ethics Program.
Conduct compliance training for Board members, Executive Management and all levels of staff on a regular basis to ensure relevance and to provide guidance.
Develop and implement the Risk Management and Mitigation Plan for the Agency; identify potential areas of vulnerability and risk, provide guidance to executive leadership and develop and implement corrective action plans for the resolution of issues.
Perform ongoing analysis of risk and trends of aggregate incidents, investigations, allegations and/or complaints.
Identify and recommend preventive measures or actions plans as necessary.
Develop and implement the Continuous Quality Improvement Plan for the Agency.
Maintain data for Agency dashboard, highlighting impacts and outcomes of Agency program, services, and function (Key Performance Indicators).
Provide compliance information to management and the Board; prepare reports.
Support departments by collecting and coordinating internal compliance data with auditors and various departments.
Oversee and coordinate health and safety activities across the Agency.
Ensure that the Agency is in compliance with federal, state, and local legal requirements by reviewing existing and new legislation; enforce adherence to requirements and advise management on needed actions.
Author and implement compliance policies and procedures.
Facilitate the Quality and Compliance Committee.
Monitor the compliance hot line and compliance email to ensure that issues/concerns are evaluated, investigated and resolved; assist with investigations at the request of the President/CEO or Executive Vice President/COO when a conflict of interest would otherwise exist.
Adhere to the mission, vision and values of Gesher Human Services and conducts him/herself within any published Standards of Professional Conduct of his/her program, division and the organization.
Interview, train and evaluate designated staff. Complete written performance evaluations as required.
Serve on Agency committee(s) as appointed