Quality Assurance Specialist

About

Under the direction of the Chief Compliance Officer, the Quality Assurance Specialist will develop and implement quality assurance strategies to assess and improve the effectiveness of the Corporate Compliance/Quality Assurance Department.

Responsibilities

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Conduct comprehensive internal audits, record reviews and physical site inspections.
• Conduct thorough investigation into various types of incidents both reportable and internal, ensuring compliance with applicable oversight agencies, including OPWDD, Justice Center, OMH, OCFS, SED, OMIG, and other relevant agencies.
• Develop and improve internal controls and monitoring systems.
• Create systems to help staff follow regulatory standards.
• Support Program Directors with service delivery and compliance.
• Review audit data, identify trends, and create action plans to fix quality issues.
• Train and assist staff to improve service quality.
• Work with the Corporate Compliance Officer to develop policies for quality improvement.
• Stay updated on federal and state regulations and assess organizational performance.
• Assist program directors/managers in making necessary corrections.
• Help the Chief Compliance Officer with annual reports and trend analysis.
• Assist in agency-wide mandatory training using standardized materials.
• Additional tasks and responsibilities may be assigned.

Education/Experience

• Bachelor's Degree from an accredited college or university in public health administration, human services, nursing, social welfare, or a related field, with Master's preferred
• 5+ years of experience working in an organization that provides services to individuals with special needs
• Strong clinical, management and organizational skills
• Knowledge of applicable program standards and regulations
• Proficiency in implementing and maintaining compliance standards
• Knowledge of practices concerning investigations

Additional Requirements

• Daily access to an automobile is required.
• A valid NY State Driver's License and ability to drive and driving record acceptable for agency insurance coverage are required.
• Must be cleared/maintain acceptable record under NY state mandated criminal background check process
• Must be clear and maintain an acceptable record under the Medicaid Fraud & Abuse clearance process.
• On-going training/education as part of development related to position. Programs are regulated by OPWDD, OMH, OCFS, SED, DOH and NYS Justice Center.