Compliance and Quality Assurance Manager
11 hours ago
Southwest Human Development is Arizona’s largest nonprofit dedicated to early childhood development. The first five years of life are the most critical in a child’s development. At Southwest Human Development, our services improve lives and help families by supporting young children and their caregivers during this important time.
Your skills, experience, and passion are needed at one of the nation’s largest nonprofits dedicated to early childhood development. Join our team and experience a long-term career that brings joy and satisfaction in knowing you make a difference. We offer over 40 programs and services to more than 140,000 children.
Why choose us?
- You will be rewarded with benefits, including zero contribution health plan options, 401K plan, wellness programming, and generous paid time off.
- You will have the opportunity to represent a highly respected non-profit agency in Arizona.
- You will enjoy a supportive and collaborative work environment.
The Compliance and Quality Assurance Manager will oversee the department's compliance program to ensure employees comply with the rules and regulations of governing regulatory agencies, and departmental and agency policies. This role will create and own processes for quickly identifying and correcting policies and procedures not being followed.
In this role, you will:
- Oversee the compliance program
- Lead the charge in preparing for regulatory audits, reviews, reports, studies, and site visits, ensuring our department exceeds regulatory expectations.
- Collaborate closely with our HIPAA compliance officer to safeguard client-protected health information, upholding the utmost confidentiality and trust.
- Be the face of our organization in regional health plan meetings, liaising with contractors and stakeholders to foster strong, compliant partnerships.
- Monitor and coordinate compliance activities, providing vital status updates and identifying trends to keep us ahead of the curve.
- Proactively identify areas of compliance vulnerability, crafting and implementing corrective action plans to resolve issues and prevent future occurrences.
- Manage and leverage our Learning Management Platforms, ensuring training requirements are met with efficiency and effectiveness.
- Oversee the provider credentialing process, maintaining the highest standards of qualification and excellence.
- Maintain and manage our policy library, ensuring all documentation is up-to-date and in line with organizational and program leadership directives.
- Oversee the quality program
- Take the lead in developing, implementing, and overseeing a robust quality program, designed to elevate clinical performance and meet internal and regulatory goals.
- Provide strategic support to achieve quality and department goals, identifying and implementing performance quality improvement efforts.
- Establish and monitor key performance indicators, ensuring progress toward contractual metric targets and departmental objectives.
- Manage project implementation related to new data, performance improvement, or regulatory requirements, ensuring seamless integration and success.
- Develop and execute short- and long-term strategies, implementing quality improvement suggestions to meet and exceed contractual requirements and KPIs.
- Play a pivotal role in quality improvement projects and campaigns, leading the way in setting industry standards.
What it Takes:
- MA/MS – healthcare field, healthcare administration, social services, related field of study
- Minimum of five (5) years experience in the healthcare industry with responsibility for quality improvement, data analysis and outcome measures. This includes a demonstrated ability to develop, implement, and manage a quality management program.
- Requirements include:
- Experience working with electronic record systems (EMR/EHR) – comprehensive applications, data management and reporting.
- Value-based programming and payment experience.
- Medicaid (specifically AHCCCS) experience.
- A strong background in health field areas, including medical and behavioral health experience, with a deep understanding of quality improvement strategies is preferred for this position.
- Demonstrated leadership qualities through collaboration and teamwork experience.
- Strong organization, critical thinking, problem-solving, and communication skills.
- Proficient in the Microsoft Office Suite: Excel, Word, etc.
Learn more
Our core values embody Southwest Human Development’s commitment to services that uplift the lives of children, families and other care providers, and the communities in which they live. These values are intended to guide the professional development, ethical conduct, and skilled practice of all our staff, whatever their specific role within the agency. All staff are valued as making essential contributions to strengthening the foundation that Arizona’s children need for a great start in life. Learn more about our values and benefits here.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
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