VP of Quality Improvement & Compliance

Habilitative Systems, Inc. (HSI)

Chicago (IL)

On-site

USD 150,000 - 195,000

Full time

9 days ago

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Job summary

Habilitative Systems, Inc. (HSI) in Chicago, IL is seeking a Vice President of Quality Improvement and Monitoring to lead oversight of clinical program services and administration.

You will ensure MRO/MCO compliance, supervise staff, and drive audits, training, and corrective actions. The role requires a Master’s degree in a human services field, 10+ years in the sector with senior-level experience, and strong communication skills.

Qualifications

  • Master’s degree in social work, public health, or related field.
  • At least ten years in Human Services with five in admin/quality improvement or supervision or 5+ years in compliance management.
  • Experience with medical records and billing preferred.
  • Clinical licenses preferred (LCSW/LCPC/LMFT/Psychologist).
  • Familiarity with federal/state/local guidelines and Medicaid/3rd party payer rules.
  • Strong communication and training skills.
  • Proficient with MS Word/Excel/PowerPoint and EHR systems.

Responsibilities

  • Oversee quality improvement and monitoring as liaison between clinical services and administration.
  • Provide programmatic training and technical assistance to ensure MRO/MCO compliance.
  • Support agreements with HMOs and third-party insurers for billing requirements.
  • Supervise MSW Student Intern Program and coordinate with schools.
  • Conduct internal audits and audits to ensure regulatory standards are met.
  • Coordinate program audits, corrective actions, and reporting to executives.
  • Lead policy updates and maintain documentation for compliance.

Skills

Project management
Communication (verbal and written)
Training and staff development
Policy and compliance oversight

Education

Master’s degree in social work, public health, or related field
Professional clinical license (LCSW, LCPC, LMFT, Psychologist) preferred

Tools

Microsoft Word
Excel
PowerPoint
Electronic health records system

Job description

Habilitative Systems, Inc. (HSI) in Chicago, IL is seeking a Vice President of Quality Improvement and Monitoring to lead oversight of clinical program services and administration.

You will ensure MRO/MCO compliance, supervise staff, and drive audits, training, and corrective actions. The role requires a Master’s degree in a human services field, 10+ years in the sector with senior-level experience, and strong communication skills.

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