Compliance Analyst

I. PURPOSE/FUNCTION OF THE PROGRAM

The Quality and Compliance functions at BGV are integral to the agency successful implementation of its mission and vision. The overarching goals of the Quality and Compliance functions are to ensure that services are quality driven, effective and adhere to various regulatory requirements. This appears throughout the organization via various tools including the quality plan (PQI), the compliance program policies and procedures, program/agency benchmarks, contract deliverables, data management, and audits to provide an agency wide structure and monitoring. The Quality and Compliance functions also play an essential role in managing risk and the oversight of implementation of policies/operational objectives.

II. POSITION SUMMARY

This position provides support to department leadership and others in the Compliance and Quality team. This position is responsible for managing and creating reports, supporting program reviews and data management, supporting the reference document tools for programs, managing follow-up and reminders, completing protected health information documentation requests, conducting ad-hoc reviews, and other compliance related projects and tasks as directed. This position may also support various Information Technology needs related to compliance.

III. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

1. Validates reports, process adherence, and data accuracy including compiling, reconciling, clarity and reasonableness reviews, and preparation of reports such as the development and maintenance of Power BI reporting.
2. Assists with the development and maintenance of data collection tools (primarily Microsoft 365 based).
3. In collaboration with supervisor and Departments /Programs, establish and track outcome measures from quality and compliance related projects/initiatives including providing critical assessment of quality and compliance activity results with corrective steps as may be needed (Plan-Do-Check-Act)
4. Coordinates with programs to ensure internal audits and review tools (e.g. program monitoring Power Apps) are updated timely to ensure programs are in compliance with program, regulatory, agency, and best practices.
5. Completes medical record and subpoena requests by logging, escalating when appropriate to Quality leadership, processing (including redaction), sending, and appropriately documenting disclosure in electronic medical record.
6. Acts as a backup for IT roles owned by the department including, but not limited to, cellphone and cell data management and support for the organizations Electronic Health Record (EHR) which is CareLogic.
7. Acts as the backup to support the documentation and reference libraries for the organization including version control and change approval verification.
8. Aids, as needed, in other quality administrative tasks for the VP of Administrative Operations such preparing ad-hoc reports and participation in ad-hoc requests for information/reviews.
9. Other duties as assigned by supervisor.

1. High attention to detail and organization skills.
2. Ability to work collaboratively with staff and external agency stakeholders.
3. Critical thinking skills for problem solving and process improvement.
4. Ability to quickly learn new programs, skills, and technologies.
5. Experience in change management or the ability to pivot as situations/information available changes.
6. Associate or Bachelor degree in a data analysis related field, behavioral health discipline, business/finance, or health care or equivalent health care degree/license/certification.
7. 2 or more years experience in compliance, data analysis, quality assurance, or project management.
8. Experienced or advanced knowledge of Microsoft Office or Microsoft 365 product suite.
9. Strong oral and written communication and presentation skills.

1. Experience with Microsoft Office/365 development, automation, and reporting tools including Power Apps, Power Automate, and Power BI or similar tools from other software companies (e.g. SQL, MuleSoft, RPA, BPA, DPA, Tableau, Looker, SAP Analytics, AWS Analytics, ServiceNow, Google App Maker, Salesforce App Cloud)
2. Experience working with the Electronic Health Record system CareLogic or other EHR systems.
3. Knowledge and experience in behavior health care and/or human services organizations in Connecticut including a familiarity with related regulations.

1. N/A

• Standard office conditions and equipment use apply
• Extensive periods of sitting. Converting standing desk option available for successful candidates.

1. Will be located in the Milford, CT office (no remote option)
2. May be required to occasionally (