Compliance Manager Health Services

Forestdale Inc.; New York (NY); On-site; USD 80,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Tax-deferred accounts

Flexible Schedule

Educational scholarships

Job summary

Forestdale Inc. in Forest Hills, NY, is seeking a Compliance Manager for Health Services to lead routine audits and ensure regulatory mandates are met across programs.

You will analyze data, prepare reports, and coordinate with Quality Oversight to improve performance. A Bachelor's in Health Sciences or Human Services with 3+ years' experience is required, with a Master's preferred and strong knowledge of 29I and Health Homes audits.

Qualifications

• Bachelor's degree in Health Sciences or Human Services with 3+ years of experience required.
• Master's degree preferred for advanced qualifications.
• Experience with 29I and Health Homes audits and regulatory compliance is strongly preferred.
• 1–3 years of experience in health services provision to children, youth, and families.
• Strong communication, evaluation, analytics, and project management skills.

Responsibilities

• Perform routine audits of health services programs to ensure regulatory mandates are met.
• Analyze data, records, and reports to monitor performance and identify improvements.
• Prepare monthly compliance reports and quarterly Quality Oversight Committee materials.
• Conduct standing and ad-hoc audits including 29I foster care, health homes, medical audits, and CFTSS audits.
• Assist in accreditation preparation and response to corrective action plans.
• Maintain KPIs and dashboards using Power BI and monitor regulatory changes.

Skills

Oral communication

Written communication

Program evaluation

Analytic methods

Research methods

Project management

Education

Bachelor's in Health Sciences or Human Services

Master's degree preferred

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Compliance Manager Health Services

EFFC Full-time Regular Forest Hills, NY, US

3 days ago

Salary Range: $80,000.00 To $90,000.00 Annually

Job Summary

The Compliance Manager Health Services Department will perform routine audits of all health services programs, ensuring that all regulatory mandates are met as well as identifying areas of improvement, trends, and performance.

Major Responsibilities/Activities

• Provide compliance and data support to Health Services, including Article 29-I, Health Homes, and Children's Health and Behavioral Health Services Transformation (CFTSS)
• Conduct case and chart record reviews for all programs.
• Analyze data, records, and reports to monitor performance. Summarize findings for each program.
• Prepare reports for monthly compliance check-in meetings and quarterly Quality Oversight Committee.
• Conduct standing Compliance reviews including:
  • 29I new foster care placement review
  • Biannual medication monitoring audits
  • Quarterly Medical Audits
  • Health Homes Quarterly audits
  • CFTSS Quarterly Audits
  • Follow up with NYS OCFS Quarterly Health Assessment audits
• Assist in preparing for the ACS medical audit and responding support the team in drafting responses to any corrective action plans.
• Draft corrective action plans from findings of internal audits completed and review progress at quarterly meetings.
• Assist in the client satisfaction initiatives undertaken within the program.
• Use ACS and OCFS reports to track regulatory performance.
• Conduct focused reviews as requested by program.
• Collaborate with other staff to analyze and report the results of QI work to improve the quality of healthcare services provided to clients.
• Monitor and track incidents reported Health Homes Incident Reporting Management System and CFTSS New York State Incident Management and Reporting System (NIMRS)
• Co-Chair Incident Review Committee Quarterly meetings.
• Follow up with medical and behavioral health requests related to NYC ACS Office of Special Investigations
• Assists in preparing for any accreditation audit health services should undertake.
• Use PSYCKES to address health measures such as children on antipsychotic medications, ER visits, and others.
• Maintain monthly dashboards of KPIs using Power Bi and refine the metrics to include policy updates/changes by regulatory oversight bodies.
• Other duties as assigned.
• Bachelor's with a minimum of three years experience required, Master's preferred, in the area of Health Sciences or Human Services.
• Experience with 29I and Health Homes audits and regulatory compliance strongly preferred
• 1-3 years' experience working in the area of health services provision to children, youth and families.
• Skills and competencies including, but not limited to, oral and written communication, program evaluation, analytic and research methods, and project management.
• Compliance with:
  • Required background checks, including: NYS Statewide Central Register of Child Abuse/Maltreatment, NYS Sex Offender Registry, NYS Division of Criminal Justice Services fingerprinting, NYS Justice Center Staff Exclusion List, NYS OMIG Medicaid Exclusion List.
  • Mandated reporter training.
  • Applicable provisions of the NYS Education Law with respect to hiring and retaining licensed professionals.

Benefits: Join the Forestdale Team and Enjoy Excellent Benefits:

• Medical/dental/vision/life/disability insurance
• Tax-deferred health care/dependent care/commuter plans
• Flexible Schedule
• Opportunities for educational scholarships

Additional Information

Forestdale Inc. is an equal opportunity employer that is proudly committed to becoming an anti-racist and multicultural organization that stands up for justice and equity. We welcome prospective employees from diverse backgrounds, for administrative support and direct service and leadership roles, who will join us on that journey, uphold our values and approach, and believe in our mission. Additionally, we aim to have a racially representative leadership and workforce that is reflective of the communities we work in partnership with. Forestdale Inc. is committed to providing an inclusive and welcoming environment for all members of our staff, participants, volunteers, subcontractors, and vendors. We do not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of our activities or operations. These activities include, but are not limited to, hiring and termination of staff, selection of volunteers and vendors, and provision of services.