Director of Compliance

Job Title: Director of Compliance

Location: Borough Park, Brooklyn - NY
Position Type: Full-Time, Exempt
Work Schedule: Monday-Thursday, 9 AM - 5 PM; Friday 9 AM - 1 PM

Job Summary:

The Director of Compliance is a vital leadership role responsible for ensuring all documentation submitted to insurance carriers meets the highest quality standards and complies fully with clinical and insurance regulations. This position oversees a team of Quality Assurance Specialists, working closely to ensure the success of the department and maintain the company's regulatory and clinical compliance.

Key Responsibilities:

• Leadership & Team Support:

  • Provide comprehensive support to the Quality Assurance team.
  • Set clear goals for team members, equip them with necessary resources, and motivate them to achieve objectives and professional growth.
  • Conduct regular check-ins with Quality Assurance Specialists, providing feedback and fostering continuous development.
  • Train new team members and ensure they are prepared for their roles.

• Quality Assurance Oversight:

  • Review session notes to ensure accuracy and resolve exceptions before payroll deadlines.
  • Oversee the review and submission of materials for Medical Record Requests and audits, ensuring compliance with regulatory standards.
  • Complete monthly scorecards to assess team performance and ensure alignment with expectations.

• Collaboration & Process Improvement:

  • Work closely with the Chief Clinical Officer to enhance QA practices, optimize system utilization, and foster strong relationships with providers.
  • Participate in team meetings, integrate feedback, and make suggestions for department improvements.

• Regulatory Compliance & Ethics:

  • Adhere to all company policies, uphold ethical and professional standards, maintain client confidentiality, and ensure HIPAA compliance.
  • Ensure compliance with all relevant local, state, and federal laws related to case management provision.

Requirements:

• Qualifications:

  • Minimum of two years of experience related to documentation and insurance requirements.
  • Bachelor's or Master’s degree in a Social Sciences field preferred.
  • Experience in management with proficiency in supervision, documentation, organization, and tracking skills.
  • Strong attention to detail, decision-making ability, and multitasking capabilities.
  • Positive attitude, excellent written and oral communication skills, and aptitude for following directives.
  • Ability to work in a fast-paced environment with deadlines.

• Skills:

  • Enthusiastic about ABA (Applied Behavior Analysis) and committed to making a meaningful impact through quality training and support.
  • Strong supervisory abilities, including clear strategy development for mentoring and providing guidance and training.
  • Operational skills to implement processes and procedures effectively.
  • Critical thinking, analytical, and problem-solving skills.
  • Ability to provide clear, timely feedback, and follow systems with fidelity.
  • Empathetic leadership, encouraging optimism, support, and a positive work environment.
  • Interest in self-refinement and a willingness to apply feedback for continuous improvement.

• Computer Skills:

  • Proficiency in Gmail, Word, and Excel.

• Reasoning Ability:

  • Strong ability to make determinations regarding best practices and procedures to achieve goals.

Working Conditions:

• This is an exempt, salaried position where the focus is on completing goals and responsibilities regardless of hours worked.
• The position requires desk work and may involve travel for company events.
• Physical demands include sitting, kneeling, crawling, and lifting up to 25 lbs as needed.

How to Apply:

Interested candidates should submit a resume and cover letter outlining their experience and qualifications.