QUALITY ASSURANCE AND COMPLIANCE MANAGER

Apis Services Inc•St. Peters, MO

4d•Hybrid

About The Position

The Quality Assurance & Compliance Manager is responsible for leading quality assurance, regulatory compliance, audit preparedness, and continuous quality improvement initiatives across IDD programs and services. This position ensures organizational compliance with federal, state, licensing, accreditation, payer, and organizational standards while promoting operational excellence and high-quality service delivery. The Quality Assurance & Compliance Manager develops, implements, monitors, and evaluates quality assurance systems, compliance programs, audit processes, corrective action plans, and performance improvement initiatives. The position collaborates with program leadership, operational teams, and external stakeholders to maintain regulatory readiness, strengthen quality outcomes, and mitigate organizational risk.

Requirements

Bachelor’s Degree in Human Services, Healthcare Administration, Business Administration, Quality Management, Social Work, Psychology, Nursing, Public Health, or a related field.
Minimum five (5) years of experience within Intellectual and Developmental Disabilities (IDD) services.
Strong leadership and team development abilities.
Advanced analytical and critical-thinking skills.
Strong organizational and project management abilities.
Excellent written and verbal communication skills.
Ability to interpret and apply regulatory requirements.
Strong investigative, auditing, and reporting skills.
Ability to manage multiple priorities and deadlines.
Strong problem-solving and decision-making skills.
Ability to influence and collaborate across organizational levels.
Proficiency with Microsoft Office Suite and reporting tools.
Current driver's license with acceptable driving record.
Reliable transportation for travel between program locations.
Ability to travel throughout assigned states and service areas as required.
Computer
Telephone
Cellular phone
Copier
Fax machine
Calculator
Multi-function office equipment
Microsoft Outlook
Microsoft Word
Microsoft Excel
Microsoft PowerPoint
Quality Management Systems
Audit and Compliance Tracking Systems
Electronic Health Record (EHR) platforms
Agency-specific software applications
Sitting for extended periods during audits, meetings, reporting, and documentation activities.
Standing, walking, reaching, bending, lifting, stooping, twisting, and climbing stairs as necessary.
Driving between program and affiliate locations.
Ability to conduct facility inspections and site reviews.
Ability to occasionally lift, move, or carry objects up to 50 pounds.
Office environments.
Community-based program locations.
Residential, vocational, and day program settings.
Multi-level facilities with elevator access where available.
Bloodborne Pathogens
Right-To-Know
HIPAA
Risk Management Practices
Fire and Safety Regulations
Workplace Safety Procedures
Regulatory Compliance Standards
Maintain and abide by OSHA requirements and guidelines.
Observe all Fire and Safety Policies and Procedures.
Observe all Fiscal, Office, Human Resources, and Personnel Policies and Procedures.
Observe all HIPAA Policies and maintain confidentiality.
Observe all Agency Policies and Procedures.
Attend all required trainings, leadership meetings, and professional development activities.
Maintain a professional demeanor and exercise sound judgment in all employment duties.
Support organizational quality initiatives and regulatory compliance efforts.
Demonstrate commitment to the mission, values, and goals of the organization.

Nice To Haves

Experience leading quality assurance, compliance, licensing, accreditation, or regulatory programs.
Experience supporting multi-state operations.
Experience managing audits, inspections, licensing reviews, and quality improvement initiatives.
Experience with quality management systems and performance improvement methodologies.
Work schedules may vary based on operational and regulatory needs. Flexibility regarding travel, meetings, audits, inspections, evenings, weekends, and work locations may be required.

Responsibilities

Develops, implements, and maintains quality assurance and compliance programs across assigned affiliates and service areas.
Monitors organizational compliance with federal, state, local, payer, licensing, accreditation, and contractual requirements.
Ensures quality management systems remain current and aligned with changing regulatory requirements.
Conducts ongoing evaluation of quality assurance processes and identifies opportunities for improvement.
Leads organizational efforts to maintain continuous survey and audit readiness.
Oversees performance monitoring systems and compliance tracking activities.
Supports affiliate leadership in achieving regulatory and quality performance goals.
Maintains knowledge of current regulatory requirements and industry best practices impacting IDD services.
Oversees internal and external audit programs.
Develops annual audit schedules and compliance monitoring plans.
Conducts quality reviews, compliance audits, and operational assessments.
Coordinates supplier, vendor, and contractor monitoring activities where applicable.
Reviews findings, identifies risks, and develops corrective action recommendations.
Ensures timely follow-up and resolution of compliance issues.
Prepares organizations, programs, and affiliates for regulatory inspections and accreditation reviews.
Serves as a primary quality and compliance resource during audits, investigations, and site visits.
Maintains documentation supporting regulatory compliance and quality assurance activities.
Develops and monitors organizational quality indicators and performance metrics.
Analyzes quality, compliance, and operational data to identify trends and improvement opportunities.
Creates and implements corrective action plans and performance improvement initiatives.
Supports continuous quality improvement efforts throughout assigned programs.
Utilizes data-driven approaches to improve service delivery, compliance performance, and operational effectiveness.
Monitors effectiveness of corrective actions and quality improvement initiatives.
Recommends strategies to strengthen organizational quality systems and reduce compliance risks.
Investigates quality concerns, compliance issues, regulatory findings, and performance deficiencies.
Conducts root cause analysis related to identified risks and compliance concerns.
Develops recommendations and corrective action plans to address findings.
Provides guidance regarding risk mitigation and regulatory compliance requirements.
Tracks compliance concerns through resolution and ongoing monitoring.
Escalates significant compliance, safety, and operational concerns as appropriate.
Provides quality assurance and compliance guidance to program leadership and operational teams.
Develops and delivers compliance, regulatory, and quality improvement training programs.
Educates staff regarding regulatory changes, compliance expectations, and quality standards.
Serves as a resource to leadership teams regarding compliance interpretation and best practices.
Promotes a culture of accountability, quality, and continuous improvement.
Collaborates with cross-functional teams to strengthen organizational performance and service quality.
Prepares quality assurance and compliance reports for executive leadership.
Develops dashboards, scorecards, and other performance tracking tools.
Provides routine reporting on: Audit findings, Compliance trends, Quality metrics, Corrective action plans, Regulatory performance.
Communicates organizational risks, opportunities, and recommendations to leadership.
Supports strategic initiatives related to quality management and compliance oversight.
Assists with policy and procedure development, review, and implementation.
Participates in organizational committees and leadership initiatives.
Supports accreditation, licensing, and certification activities.
Maintains confidentiality of organizational and participant information.
Demonstrates professionalism, sound judgment, and ethical decision-making.
Performs additional duties as assigned by leadership.
Adheres to and follows the By-Laws of the Corporation and as set forth in the Articles of Incorporation.