Quality Assurance and Compliance Manager

St. John's Community Services; Washington (District of Columbia); On-site; USD 85,000 - 95,000; Full time

Benefits offered by this job

Medical, dental, vision, STD

Retirement plans

Company paid LTD

Connectivity reimbursements

PTO, Vacation & sick leave

Flexible work culture

Family-oriented culture

Job summary

St. John’s Community Services in Washington, DC seeks a Quality Assurance and Compliance Manager to oversee quality improvement and compliance activities, lead audits, and coordinate statewide oversight.

The role requires directing staff, developing plans, and ensuring adherence to federal and state standards across DC subsidiaries. The ideal candidate will have five+ years in compliance and QA, familiarity with Medicaid, and strong communication.

Qualifications

• Minimum of five years of experience with corporate compliance, quality assurance, and related regulations.
• Experience with Medicaid and human/social services preferred.
• Strong ability to design and conduct audits and reviews.

Responsibilities

• Oversee and manage quality improvement and compliance monitoring activities daily.
• Develop plans and schedules for major quality and compliance initiatives.
• Supervise assigned quality and compliance staff.
• Conduct annual compliance and quality assurance reviews and audits of state subsidiaries.
• Coordinate and support home office and state subsidiaries with audits and reviews.

Skills

Quality assurance

Compliance monitoring

Audits

Regulatory knowledge

Microsoft Office

Communication skills

Education

Bachelor's degree in a related field

Washington DC Investigator Certification

Tools

Excel

PowerPoint

Job description

To be considered for any SJCS careers, all applicants must apply using this link SJCS CareersAbout St. John’s Community ServicesAs one of the oldest non-profit organizations founded in the District of Columbia, St. John’s Community Services (SJCS) is committed to supporting and advocating for people of all abilities. SJCS works to cultivate caring communities to ensure that all people have the opportunity to thrive, and no one is left behind. We support individuals living with intellectual and developmental disabilities as well as adults and children experiencing hunger and homelessness in 4 states and the District of Columbia.At SJCS, we pride ourselves in meeting every person we support where they are, learning who they are, and affirming their individuality, unique strengths, and hopes. It’s why we exist. Advancing inclusive communities where every person, regardless of circumstances, has the right and opportunity to live their best life is our mission, and our mission is what drives us and is at the heart of our services and programs.What are we looking for?The Quality Assurance and Compliance Manager will work to further the organization’s capacity in corporate compliance and quality assurance. This position is responsible for monitoring and reporting results of the compliance and ethics efforts of SJCS and for providing guidance on matters relating to compliance and quality assurance. The Quality Assurance and Compliance Manager will implement all necessary activities to ensure an effective compliance and quality assurance program.Your overall essential responsibilities will be the following:1. Oversee and manage quality improvement and compliance monitoring activities daily.2. Develop plans and schedules for major quality and compliance initiatives.3. Supervise assigned quality and compliance staff.4. Conduct annual compliance and quality assurance reviews and audits of state subsidiaries.5. Coordinate and support home office departments with the implementation of reviews and audits of state subsidiaries.6. Coordinate and support state subsidiaries and home office departments with the operation of state oversight, compliance and quality assurance systems.7. Coordinate with state subsidiaries and home office departments to remain abreast of, and maintain a library of, relevant federal and state regulations, requirements and standards.8. Support state subsidiaries and home office departments to establish and maintain a system for assuring timely and proper follow-up on Corrective Action Plans, Quality Improvement Plans and other issues and corrective actions defined through government reviews, audits and accreditation surveys.9. Support state subsidiaries to establish and maintain a system for assuring staff are incompliance with training requirements.10. Support state subsidiaries to establish and maintain a system for assuring that staff credentials are current and on file.11. Assist with the preparation of quarterly compliance reports to keep the Director of Quality and Compliance informed of the operation and progress of compliance efforts, and of compliance and risk management matters.12. Collaborate with the Director of Quality and Compliance, state and agency leadership, and other Quality and Compliance team members on the development and implementation of agency-wide Quality and Compliance systems and processes, including outcome systems. Develop, initiate, maintain and revise policies and procedures for the general operation of the Quality Assurance Program and its related activities to prevent illegal, unethical, or improper conduct.13. Conduct all annual audits for DC to include Corporate Compliance, Provider Performance Review, Provider Certification Review, and others as assigned.14. Serve as a back up for incident management coordinator and incident management functions.15. Develop and coordinate the implementation of an effective compliance training program including appropriate introductory training for new staff as well as ongoing training for all staff members.16. Respond to alleged violations of rules, regulations, policies, procedures, and Code of Conduct by supporting and/or conducting investigative procedures.17. Perform other job-related duties as assigned.This list of responsibilities, skills, efforts, or working conditions associated with this position is not in its entirety as other duties may be assigned and are expected to be followed.You will catch our eye if you have the following knowledge, skills, and abilities:1. Minimum of five years of experience with any combination of corporate compliance, quality assurance, human service delivery regulations, billing and billing audits. Experience with Medicaid and human/social services and health care organizations preferred. (Bachelor’s degree and three years of experience can be substituted for five years of experience; Master’s degree and two years of experience can be substituted for five years of experience.)2. Requires familiarity with operational, financial, and human resource procedures and regulations.3. Strong skills in designing and conducting compliance and quality assurance audits and reviews.4. Ability to coordinate and oversee the compliance and quality assurance activities of diverse state subsidiaries and administrative departments.5. Ability to conduct basic research activities including literature and regulation reviews.6. Strong oral and written communication abilities and proficiency with standard Microsoft Office applications (Word, Access, Excel, PowerPoint).7. Ability to act as a representative of St. John’s Community Services to the public.8. Ability to keep all relevant parties informed of all major work matters and to recommend changes as appropriate.9. Ability to establish and maintain effective working relationships with co-workers, associates, representatives from other agencies, and the general public.10. Ability to use sound judgment when making decisions.11. Must be well organized and detail oriented.Extra credit will be given if you have the following experience, education, and requirements:· Bachelor’s Degree in Human Services· Washington, DC Investigator CertificationAll SJCS employees must:· Obtain a valid health certificate to meet SJCS or current funding authority requirements as required.· Meet SJCS and the funding authority requirement of criminal background and record checks.Physical and environmental conditions include:· Work environment involves everyday risks or discomforts that require normal safety precautions typical of such places as offices, e.g., use of safe work place practices with office equipment, and/or avoidance of trips and falls.· Travel to subsidiary locations is required.The hiring range for this position ranges from $85,000 to $95,000 and is dependent on location and experience.Other benefits include the following:· Medical, dental, vision, STD, and other benefits and company contributions· Retirement plans.· Company paid LTD.· Connectivity reimbursements (some employees)· PTO, Vacation, and sick time off.· Flexibility· Family culture· Helping other people live their best life!Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions of this job.Do you think that you are a great fit for this position? We are waiting for you to join our team! Apply today on our company website SJCS Careers to be considered.