Quality and Compliance Specialist

Acumen & DCI•Mesa, AZ

3d•Onsite

About The Position

The Quality and Compliance (QC) Specialist must maintain a detailed understanding of all current AFA contracts, as well as a basic understanding of all functions within Operations in order to assist with high priority issues and projects that require a quick turnaround. They must have the ability to gather information and research contract compliance issues in order to support Quality and Compliance, Program Managers, and Operations teams. The QC Specialist will assist the Quality and Compliance Department with responding to internal and external requests for information, audits, subpoenas, complaints, and surveys. This person must have excellent project management skills and be able to foster a cohesive company-wide-team approach to quality improvement. Maintain detailed understanding of all current AFA contracts and provider manuals, acting as a contract/manual subject matter expert Act as a liaison between the Program Managers/ Executive Directors and Operations teams, communicating and helping to resolve any issues concerning contract /legislative changes, contract deliverables, quality concerns, and other various issues that may directly impact the customer or Acumen, Inc Serve as contract administrator, focusing on successful completion/implementation of all contract deliverables, including: state audits; emergency management, internal trainings on state and program requirements/business rules, internal reporting of survey results and implementation of any corrective action plans, and coordination with appropriate state/program on Requests for Information and other communications Document management, including forms, program communication, manual updates, and fact sheet updates Identify and develop action plans and/or efficiencies in response to trends and risks across states and programs Independently manage and prioritize multiple projects at once and makes decisions about their relative priority at any given time Facilitate cross-department participation to compile accurate documentation needed for timely responses to Audits, Subpoenas and RFI, while maintaining detailed records as they relate to the request in compliance with HIPAA and contract requirements Package audit results, identify trends and provide feedback for internal quality improvement projects Oversee the complaint process for tracking and trending purposes and conduct reviews of quality issues and client concerns for trends Assist departments with the development of corrective and preventatives actions necessary to resolve further issues Research, develop, and maintain systems to ensure the organization complies with all policy, process, contract, and regulatory requirements Lead quality improvement and compliance endeavors with a disciplined and structured problem solving approach that aligns to business priorities Develop project plans and schedules Develop internal and external audits and surveys, then analyze and report results to measure organizational success and establish future goals to improve customer satisfaction Provide staff training and tracking in support of meeting contractual training requirements as needed/requested Occasionally work late or on weekends as needed to ensure deadlines and/or high volume demands are met Perform other work-related duties as assigned ALL Acumen employees will be vigilant to support the positive compliant cybersecurity company posture by familiarizing themselves with all policies, procedures, standards, and guidelines and act. RESPONSIBILITIES AS A TEAM MEMBER Takes personal responsibility for actions. This is demonstrated through owning problems, problem solving and not projecting problems or failures to others or the "system" if not warranted Demonstrates excellence in work standards, is tenacious in completing tasks Able to effectively problem solve and make decisions. To include resolving crisis situations and developing resolutions between parties Works well with other team members and departments Demonstrates the ability to interact and cooperate using respectful relations in order to efficiently accomplish mutual goals and assignments Requests support from team with ample time to accommodate the support request in order to meet deadlines Ensures effectiveness in processes to achieve/seek best practice

Requirements

Valid driver’s license within state of residence
Valid automobile insurance
Ability to communicate both orally and in writing
Accuracy and the ability to handle responsibility with limited supervision
High standards of integrity and honesty
Demonstrate excellent organizational skills, attention to detail, time management, task oriented, good interpersonal skills, patience, perseverance, and follow through skills
Knowledge of basic computer skills to include Microsoft Word, Excel and internet e-mail experience
Must participate in training necessary to learn and become proficient in all Acumen specific programs (i.e. Laserfische/AFA DCI)

Nice To Haves

Bachelor’s degree in Social Sciences or other related field, or equivalent years of experience in social services, financial management or human resources.
Excellent communication and relationship skills with all stakeholders, including clients, state entities, and colleagues
Ability to effectively and respectfully interact with client base that has varying levels of ability, educational backgrounds, authority, and ethnicities
Ability to maintain confidentiality
Ability to speak in public, including trainings
Ability to communicate effectively with diverse internal and external customers to accomplish a task or reach an understanding diplomatically and respectfully

Responsibilities

Maintain detailed understanding of all current AFA contracts and provider manuals, acting as a contract/manual subject matter expert
Act as a liaison between the Program Managers/ Executive Directors and Operations teams, communicating and helping to resolve any issues concerning contract /legislative changes, contract deliverables, quality concerns, and other various issues that may directly impact the customer or Acumen, Inc
Serve as contract administrator, focusing on successful completion/implementation of all contract deliverables, including: state audits; emergency management, internal trainings on state and program requirements/business rules, internal reporting of survey results and implementation of any corrective action plans, and coordination with appropriate state/program on Requests for Information and other communications
Document management, including forms, program communication, manual updates, and fact sheet updates
Identify and develop action plans and/or efficiencies in response to trends and risks across states and programs
Independently manage and prioritize multiple projects at once and makes decisions about their relative priority at any given time
Facilitate cross-department participation to compile accurate documentation needed for timely responses to Audits, Subpoenas and RFI, while maintaining detailed records as they relate to the request in compliance with HIPAA and contract requirements
Package audit results, identify trends and provide feedback for internal quality improvement projects
Oversee the complaint process for tracking and trending purposes and conduct reviews of quality issues and client concerns for trends
Assist departments with the development of corrective and preventatives actions necessary to resolve further issues
Research, develop, and maintain systems to ensure the organization complies with all policy, process, contract, and regulatory requirements
Lead quality improvement and compliance endeavors with a disciplined and structured problem solving approach that aligns to business priorities
Develop project plans and schedules
Develop internal and external audits and surveys, then analyze and report results to measure organizational success and establish future goals to improve customer satisfaction
Provide staff training and tracking in support of meeting contractual training requirements as needed/requested
Occasionally work late or on weekends as needed to ensure deadlines and/or high volume demands are met
Perform other work-related duties as assigned
Takes personal responsibility for actions. This is demonstrated through owning problems, problem solving and not projecting problems or failures to others or the "system" if not warranted
Demonstrates excellence in work standards, is tenacious in completing tasks
Able to effectively problem solve and make decisions. To include resolving crisis situations and developing resolutions between parties
Works well with other team members and departments
Demonstrates the ability to interact and cooperate using respectful relations in order to efficiently accomplish mutual goals and assignments
Requests support from team with ample time to accommodate the support request in order to meet deadlines
Ensures effectiveness in processes to achieve/seek best practice