Quality Assurance and Compliance Officer

Pmhcc • Philadelphia, PA

430d

About The Position

The Quality Assurance and Compliance Officer is responsible for developing and coordinating the Corporate Compliance, Quality Assurance, Utilization/Review, and Risk Management processes for PMHCC-CU, Inc. This role ensures that all programs comply with agency policies, applicable laws, and regulations, and involves conducting audits, preparing reports, and providing training to staff.

Requirements

• Master's degree in social, human, or life sciences.
• Two years of experience in Quality Assurance and Compliance in Behavioral Health services or five years in case management and supervision.
• Excellent organizational, analytical, interpersonal, and communication skills.
• Proficiency in Microsoft Office applications (Word, Excel, Access).
• Valid driver's license and access to a working vehicle.

Nice To Haves

• Experience in Behavioral Health services compliance and quality assurance.
• Creative problem-solving skills.
• Ability to work without close supervision.

Responsibilities

• Update CU's Corporate Compliance Plan annually for review and approval.
• Lead preparation for ACT/BE/BHID MAC Licensure reviews and audits.
• Complete forms and documentation for compliance with Federal, State, and Behavioral Health regulations.
• Conduct Annual Performance Improvement and Program Evaluation for ACT, BE, and BHID.
• Evaluate data to identify potential liability problems and noncompliance issues.
• Provide orientation to new staff on compliance policies and procedures.
• Investigate compliance infractions and present reports with recommendations for corrective actions.
• Draft and review Policies and Procedures in consultation with service managers.
• Coordinate with HR to ensure proper registration of CU psychiatrists in the National Practitioner Data Bank.
• Chair Quarterly Open Forum and prepare agendas for meetings.
• Coordinate monthly audits of service documentation and analyze data for compliance.
• Review Consumer Satisfaction Reports and respond to complaints in collaboration with Program Directors.
• Conduct monthly staff surveys and analyze response data for trends.
• Provide New Employee Orientation and monthly training for staff development.
• Monitor and track performance evaluations for CU staff.
• Receive and maintain files for all incident reports and investigate significant incidents.

Benefits

• Health savings account
• Health insurance
• Dental insurance
• Tuition reimbursement
• Paid time off
• Parental leave
• Employee assistance program
• Vision insurance
• Life insurance
• Referral program
• Retirement plan

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Administrative and Support Services
• Education Level: Master's degree