Quality & Compliance Specialist

Texas Family Care Network • Nederland, TX

12h

About The Position

Providing transformational change to the child welfare system in Region 5. Position Summary The Quality and Compliance Specialist promotes a culture of improvement within the Texas Family Care Network by monitoring the quality and regulatory compliance of network providers and providers from whom ancillary services are purchased. The Quality and Compliance Specialist will be responsible for facilitating the provider monitoring process, including routine provider audits, site visits, and partnering with network providers to develop and implement performance improvement plans and tracks results to ensure all issues are remediated. The Quality and Compliance Specialist will perform all job duties in a way that demonstrates and emphasizes kind and respectful behavior, purposeful connection, and integrity in a service-oriented manner.

Requirements

• Bachelor’s degree or associate’s degree from an accredited college or university or equivalent experience may be substituted.  
• A minimum of one year of experience in the child welfare industry, quality improvement, or safety and compliance.
• Valid driver’s license and current auto insurance.
• Clearances: DPS, DFPS, FBI, CBCU Eligibility Determination, Child Abuse Clearances.

Responsibilities

• Review applications from prospective Network Providers, required documents, policies, and forms.
• Conducts due diligence screening for performance and compliance history of prospective provider, uploads documentation into the organization's system, and submits all documents to the state for review and approval.
• Conducts audits, reviews, on-site visits, and monitoring of assigned network providers according to the terms of their contract.
• Facilitates joint monitoring process with other SSCCs as applicable.
• Develops performance improvement plans for network providers
• Conducts investigations of serious incidents, grievances, and complaints as needed
• Performs all duties within contract, state and federal regulations and company policies

Benefits

• Medical coverage available with a Health Savings Account (HSA) with 100% employer match
• Prescription coverage
• Dental and vision plans
• Dependent Care Flexible Savings Account
• Retirement savings plan with an employer match
• Free life insurance and AD&D
• Paid Time Off
• 9 paid holidays (7 recognized holidays plus a floating and birthday holiday per year)
• Tuition reimbursement (if applicable)
• Employee Assistance Program (EAP)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree