Corporate Compliance - Director of Quality Assurance-FT-GLOW

Start a fulfilling career that makes a difference in the lives of people with disabilities and their families. We have a variety of full and part-time jobs available and are looking for candidates who are eager to learn. Our employees receive a range of benefits including health insurance, company-paid life insurance, 401K, generous paid time-off and continuing education support!

General Responsibilities:
The Quality Assurance Director is responsible for development, implementation and oversight of agency wide quality assurance activities, including but not limited to, incident reporting and investigations, internal and external quality audits, and policy development and implementation. Promotes highest standards of professionalism and quality in accordance with all laws, regulatory requirements, agency practices and philosophy.

Essential Functions:

• Incorporate the agency’s mission, vision and values in the performance of all job duties
• Direct agency activities required to comply with the rules and regulations imposed by agency funding sources for incident reporting, investigations,

auditing and corrective actions

• Ensure consistency in the development, monitoring and application of agency policies and procedures
• Ensure consistency in service provision to ensure the agency is meeting and /or exceeding regulatory compliance, in conjunction with all department functions
• Share pertinent information to the governing body as required or requested
• Cross trained in Compliance and Quality Improvement/HIPAA in order to provide coverage as needed
• Monitor the quality assurance activities of the agency to identify trends

Incidents and Investigations:

• Ensure the provision of education and training on Quality Assurance activities, Incident Reporting, Abuse Prevention, and identify need for curriculum changes
• Identify and support development of other training as needed to meet expectations of position
• Oversee completion of incident trending reports and provide same to the Chief

Executive Officer, appropriate agency and board committees, oversight entities, and Board of Directors as required or outlined in agency policy

• Perform quality reviews of incident investigations
• Participate in investigation of Quality Assurance program violations
• Conduct special investigations as needed or requested
• Ensure maintenance of agency incident records with respect to confidentiality and assigning of investigations in accordance with regulations
• Staff liaison to Incident Review Committee of the Board of Directors
• Review Incident Review Committee minutes prior to distribution and oversee distribution process to ensure quality
• Ensure operation of agency’s Incident Review and Quality Assurance Committees(s) in accordance with regulatory requirements
• Develop, implement, and distribute applicable regulatory requirements for the Agency and Board of Directors
• Ensure efficient management of the agency’s Incident Review and investigations processes
• Ensure the maintenance of the agency’s databases related to quality assurance activities
• Ensure incident investigations are conducted in accordance with regulatory requirements and standards of oversight agencies
• Provide support and assistance to team as needed in the absence of the Quality Assurance Coordinator and other Quality Assurance personnel

Internal and External Audits:

• Act as liaison to OPWDD for agency program certifications
• Monitor the effectiveness of the quality assurance function and identify problem areas using a variety of methods, including conducting routine and/or focused internal audits
• Represent Agency at Certification/Re-certification Reviews including exit and entrance conferences as applicable
• Review writing of and monitor implementation and on-going compliance with Plans of Corrective Action
• Provide general guidance to the agency on how to avoid / minimize re-certification deficiencies
• Maintain/share survey results as needed for quality improvement and compliance purposes

Policy Development and Monitoring:

• Ensure currency of Quality Assurance policies and procedure in accordance with

applicable laws and regulations

• Provide support and develop methods to ensure agency compliance with applicable regulations and agency quality standards regarding policy development and consistency of implementation

Additional Functions:

• Ensure operation of agency’s Human Rights and Informed Consent Committees in accordance with regulatory requirements
• Maintain an awareness of current trends in the field through literature review, conference, external trainings and committee involvement.
• Represent Agency on Collaborative Quality Team and The Arc New York Quality Improvement and Corporate Compliance team
• Assist with additional responsibilities at the discretion of the Chief Executive Officer/designee
• Maintain a working knowledge of and function as an agency resource on federal and state laws, regulations and policies that may affect the agency and influence its quality assurance program
• Consult with external resources as needed or required
• Report to the agency Board of Directors and the agency Compliance Committee as needed or requested
• Responsible for hiring, evaluation and supervision of direct reports and hiring process for indirect reports, per agency policy and procedures

Non-Essential Functions:

• Attend meetings and training as assigned
• Participate in agency events and fundraising

Reporting Responsibilities:

• Reports to Vice President of Compliance

Supervisory Responsibilities:

• Direct supervision of Quality Assurance Coordinator
• Indirect oversight of all other Quality Assurance Personnel

Knowledge, Skills & Abilities:

• Prior quality assurance experience preferred.
• References and work history demonstrating high ethical standards and reputation for integrity.
• Experience working with individuals with disabilities preferred.
• Experience with regulatory issues and face to face contact with staff of regulatory agencies.
• Understanding of government requirements/guidance for health care programs.
• Familiarity with New York State Medicaid program requirements and New York and federal fraud and abuse laws (e.g. False Claims Act, Anti-Kickback, Stark, etc.)
• Maintains a high degree of credibility, independence, integrity, confidentiality and trust.
• Demonstrates sound business judgment and is supportive of The Arc New York’s OPWDD’s missions and requirements.
• Understands the legal structure and regulatory framework of The Arc New York.
• Exhibits analytical skills and an understanding of operational processes and technology concepts.
• Maintains strong writing skills required to write and edit policies and procedures, to issue memorandums and compile reports.
• Exhibits good presentation skills with large and small audiences and with all levels of employees.
• Detail-oriented and commitment to teamwork.

Physical Requirements:

• Ability to use standard office equipment including personal computer, phone, fax, copier, etc.
• Ability to speak and listen
• Ability to sit or stand for extended periods of time
• Ability to sit, stand, stoop, climb, push and pull

Working Conditions:

• Working conditions are generally normal for an office environment.
• Will be required to travel to offsite locations.
• Occasional work in a warehouse environment, which may include dirty, musty, hot or cold conditions

Minimum Qualifications:

• Bachelor’s Degree required
• Minimum of five years’ experience in the health care industry or a related field.
• A valid NYS driver’s license with a safe driving record per agency policy