Quality Improvement and Compliance Specialist
About The Position
NeuSpark PDS provides person-centered, community-based supports for individuals with developmental disabilities. Through a range of residential, day, and community services, we empower people to lead meaningful, self-directed lives with dignity and purpose. Our programs are built around each person’s unique strengths, goals, and needs promoting independence, inclusion, and active participation in community life. NeuSpark PDS’s supports foster choice, connection, and personal growth, while also addressing physical and medical needs with care and respect. At NeuSpark PDS, we don’t just support individuals we amplify their voices, celebrate their potential, and help spark brighter futures. Seeking a detail-oriented and mission-driven Quality Improvement and Compliance Specialist to support NeuSpark PDS in maintaining adherence to OPWDD regulations, Medicaid standards, and internal policies. This role ensures organizational compliance with Part 521 (OMIG), HCBS community integration metrics, and other regulatory requirements. The QICS will assist the Director of Quality Improvement & Compliance in monitoring, auditing, and reporting quality indicators across all programs, collaborating with program leadership to implement corrective actions and continuous quality improvement initiatives across programs. The ideal candidate has strong auditing, compliance, and analytical skills, along with experience in human services or healthcare.
Requirements
- Bachelor’s degree in human services, Healthcare Administration, or related field (or equivalent experience).
- 2+ years of experience in compliance, quality assurance, or program evaluation
- Knowledge of OPWDD regulations, Medicaid billing compliance, and HCBS standards
- Strong organizational, analytical, and communication skills
- Proficiency in Microsoft 365 (e.g. SharePoint; Fabric, PowerBi), external reporting systems (i.e. WSIR, IRMA, CHOICES, NIMIRS), and data analysis tools.
- Strong communication, critical thinking, and organizational skills
Nice To Haves
- experience with EHR systems highly preferred
Responsibilities
- Ensure compliance with Federal and State regulations (42 CFR 483; 14 NYCRR 524, 586, 624, 625, 633, 681) and agency policies through site visits, training, and documentation review.
- Conduct thorough investigations of all reportable incidents, notable occurrences, and policy violations within regulatory timeframes.
- Perform regular site visits to verify proper maintenance, cleanliness, and adherence to all regulatory and agency standards.
- Review program records to confirm staff completion of required trainings and in‑service requirements.
- Communicate results of site visits, investigations, and reviews to program staff and leadership; maintain clear, professional written documentation.
- Attend and participate in supervisory meetings, trainings, and other required sessions.
- Deliver trainings and communicate regulatory requirements effectively to staff.
- Conduct site visits and trainings across multiple locations.
- Transport self to various assigned program sites as needed.
- Collaborate with billing teams to ensure accurate Medicaid billing documentation and review supporting documents for accuracy and regulatory compliance.
- Serve as a liaison between program staff, central office departments, and external resources to support staff development and program quality.
- Support staff and departments to ensure the safety and well‑being of individuals served.
- Identify and communicate training needs through site visits and compliance reviews
- Provide technical assistance to Program Directors, Managers, Clinicians, and other staff on compliance requirements and quality operations.
- Attend assigned trainings within and outside the agency.
- Maintain strict confidentiality at all times.
- Adapt to schedule or location changes based on agency needs.
- Partner with other dept. teams to implement compliance audits and develop or select quality audit tools.
- Ensure corrective action plans are completed for deficiencies identified in internal or external audits.
- Request and review Medicaid billing documentation to ensure accuracy, completeness, and compliance.
- Support continuous quality improvement initiatives as assigned
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
