Quality Assurance and Compliance Manager (36389)

ST JOHNS COMMUNITY SERVICES•Washington, DC

3d•$85,000 - $95,000•Hybrid

About The Position

As one of the oldest non-profit organizations founded in the District of Columbia, St. John’s Community Services (SJCS) is committed to supporting and advocating for people of all abilities. SJCS works to cultivate caring communities to ensure that all people have the opportunity to thrive, and no one is left behind. We support individuals living with intellectual and developmental disabilities as well as adults and children experiencing hunger and homelessness in 4 states and the District of Columbia. At SJCS, we pride ourselves in meeting every person we support where they are, learning who they are, and affirming their individuality, unique strengths, and hopes. It’s why we exist. Advancing inclusive communities where every person, regardless of circumstances, has the right and opportunity to live their best life is our mission, and our mission is what drives us and is at the heart of our services and programs. The Quality Assurance and Compliance Manager will work to further the organization’s capacity in corporate compliance and quality assurance. This position is responsible for monitoring and reporting results of the compliance and ethics efforts of SJCS and for providing guidance on matters relating to compliance and quality assurance. The Quality Assurance and Compliance Manager will implement all necessary activities to ensure an effective compliance and quality assurance program.

Requirements

Minimum of five years of experience with any combination of corporate compliance, quality assurance, human service delivery regulations, billing and billing audits. Experience with Medicaid and human/social services and health care organizations preferred. (Bachelor’s degree and three years of experience can be substituted for five years of experience; Master’s degree and two years of experience can be substituted for five years of experience.)
Requires familiarity with operational, financial, and human resource procedures and regulations.
Strong skills in designing and conducting compliance and quality assurance audits and reviews.
Ability to coordinate and oversee the compliance and quality assurance activities of diverse state subsidiaries and administrative departments.
Ability to conduct basic research activities including literature and regulation reviews.
Strong oral and written communication abilities and proficiency with standard Microsoft Office applications (Word, Access, Excel, PowerPoint).
Ability to act as a representative of St. John’s Community Services to the public.
Ability to keep all relevant parties informed of all major work matters and to recommend changes as appropriate.
Ability to establish and maintain effective working relationships with co-workers, associates, representatives from other agencies, and the general public.
Ability to use sound judgment when making decisions.
Must be well organized and detail oriented.
Obtain a valid health certificate to meet SJCS or current funding authority requirements as required.
Meet SJCS and the funding authority requirement of criminal background and record checks.

Nice To Haves

Bachelor’s Degree in Human Services
Washington, DC Investigator Certification

Responsibilities

Oversee and manage quality improvement and compliance monitoring activities daily.
Develop plans and schedules for major quality and compliance initiatives.
Supervise assigned quality and compliance staff.
Conduct annual compliance and quality assurance reviews and audits of state subsidiaries.
Coordinate and support home office departments with the implementation of reviews and audits of state subsidiaries.
Coordinate and support state subsidiaries and home office departments with the operation of state oversight, compliance and quality assurance systems.
Coordinate with state subsidiaries and home office departments to remain abreast of, and maintain a library of, relevant federal and state regulations, requirements and standards.
Support state subsidiaries and home office departments to establish and maintain a system for assuring timely and proper follow-up on Corrective Action Plans, Quality Improvement Plans and other issues and corrective actions defined through government reviews, audits and accreditation surveys.
Support state subsidiaries to establish and maintain a system for assuring staff are in compliance with training requirements.
Support state subsidiaries to establish and maintain a system for assuring that staff credentials are current and on file.
Assist with the preparation of quarterly compliance reports to keep the Director of Quality and Compliance informed of the operation and progress of compliance efforts, and of compliance and risk management matters.
Collaborate with the Director of Quality and Compliance, state and agency leadership, and other Quality and Compliance team members on the development and implementation of agency-wide Quality and Compliance systems and processes, including outcome systems. Develop, initiate, maintain and revise policies and procedures for the general operation of the Quality Assurance Program and its related activities to prevent illegal, unethical, or improper conduct.
Conduct all annual audits for DC to include Corporate Compliance, Provider Performance Review, Provider Certification Review, and others as assigned.
Serve as a back up for incident management coordinator and incident management functions.
Develop and coordinate the implementation of an effective compliance training program including appropriate introductory training for new staff as well as ongoing training for all staff members.
Respond to alleged violations of rules, regulations, policies, procedures, and Code of Conduct by supporting and/or conducting investigative procedures.
Perform other job-related duties as assigned.