Reports to: CEO
Supervisory Responsibility: Therap Specialist, Compliance Manager
JOB DESCRIPTION
Summary/Objective:
The Director of Program Compliance is responsible for developing, implementing, and maintaining effective compliance systems for all programs for the organization. The role involves ensuring that the company and its employees adhere to regulatory requirements and internal policies. The Director of Program Compliance will collaborate with various departments to promote a culture of compliance and mitigate risks. The Director of Program Compliance will assess potential risk and vulnerabilities related to compliance issues and develop strategies to mitigate them.
Essential Functions:
Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
- Develop, review, and update compliance policies and procedures to align with current regulations and industry best practices.
- Communicate policy changes to relevant stakeholders and ensure understanding and adherence.
- Oversee and assist in conducting regular schedule audits using Columbus Group, HCBS Residential Settings Assessment tool, Licensure and Certification checklist, CARF standards, program review checklists, and other regulatory audits as requested.
- Oversee and assist in the implementation of Department of Mental Health's Value-Based Purchasing (VBP) initiatives.
- Collaborate with different departments to address compliance issues and VBP initiatives.
- Documents and communicates all audit findings to appropriate personnel and ensure a timely resolution.
- Oversight of main office client file system to ensure compliance to DMH rules.
- Track data and report findings monthly to the Sr. Management Team.
- Chair the Quality Assurance (Board of Directors) Committee and produce a quarterly outcomes compliance report.
- Stays informed with changes in regulations affecting the organization and adjusts compliance strategies accordingly.
- Provides training to staff on compliance related topics.
- Chairs and organizes the Safety Inspections audits for program locations and provides written results.
- Oversees worker's comp claims and reviews work safety environment to determine improvements for processes and purchases for increased safety.
- Maintain organized records for audit purpose.
- Oversees the vehicle tracking system to ensure maintenance needs are met, traffic laws are followed, and vehicles are easily located.
Competencies:
- Exceptional database management system and quality control experience
- Strong numerical skills and understanding of statistics and analysis.
- Ability to analyze and solve complex problems.
- Proficient with Word, Excel, Outlook, and basic computer operations
- Ability to proficiently manage time well.
- Strong interpersonal skills by providing courteous, respectful and efficient communication to others.
- Proficient with written and verbal communication
- Strong attention to detail and excellent organizational skills
- Professional and positive
- Customer/Client focused.
- Ability to work independently with a high level of accountability.
- Ability to interpret best practices in the disabilities field.
- Ability to work with all levels of an organization.
- Flexible
Work Environment
This job operates in an office setting with visits program settings with exposure to high levels of noise, human elements such as (blood, urine, etc.); frequent interruptions and fast paced working conditions. In this role standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines are routinely used.
Physical Demands:
The employee is occasionally required to sit, stoop, kneel, climb, or bend. The employee must constantly lift and/or move up to ten pounds, frequently lift and/or move twenty pounds and occasionally lift and/or move up to fifty pounds. Also requires stepping up into commercial passenger vans as needed.
Position Type/Expected Hours of Work
This is a full-time position with core hours of work being Monday-Friday 8:30am to 5:00pm.
Travel
Driving throughout the metropolitan area or as needed using your personal vehicle.
Required Education and/or Experience:
- Bachelor's Degree in relevant field of compliance
- Three years of experience working in compliance and/or quality assurance areas or doing compliance-like tasks
- One year experience in human services related field.
- Demonstrate understanding of, and ability to relate and work with the needs of adults with developmental disabilities.
Preferred Education and Experience
- Master's Degree
- High level of understanding of the DMH and Service Coordination entities regulations and processes
- Five years of experience working in compliance and/or quality assurance
- Three years of experience in human services related field.
- Experience with Therap or similar case management system
Other duties
Please note this internal job posting is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for their job. Duties, responsibilities, and activities may change at any time with or without notice.