Quality Assurance Manager

Job Description:

Summary : Responsible for the compliance and oversight of all staff associated with Compliance, Provider Payment Services, Client Services, and FRC CalWORKs Case Management. The position also includes monitoring compliance for Joan Richards Learning Village (CSPP). The position includes a budgetary component of a collaborative effort to meet fiscal responsibilities of CalWORKs and all provider payment programs. Other FRC Department compliance needs are as assigned.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following . Other duties may be assigned.

• Provide leadership in the supervision, monitoring, and evaluation of staff and program activities

• Ensure the completion of required State reports and other programmatic reporting

• Make recommendations regarding hiring and termination of staff

• Oversee general programmatic compliance, ensuring processes are in place and implemented to ensure compliance factors are met

• Prepare annual performance evaluations for direct reports and assist supervisors with completion of performance evaluations

• Monitor changes to federal and state policies and recommend internal policy and/or procedural changes and implementation as appropriate

• Design and implement an internal audit system for department compliance

• In collaboration with the CalWORKs Program Supervisor, work with HSA Staff to ensure program requirements are met and properly documented in the CCM software

• Analyze audit results to determine where agency-wide policies and procedures need to be developed and/or revised

• Coordinate internal training based on current findings or needs

• Complete the annual agency Program Self Evaluation

• Monitor and report on file and payment auditing processes

• Oversee trouble shooting functions in the AP payment group related to contract compliance, with input from AP Director/Assistant AP Directors

• Oversee Client Services Department to ensure quality customer service is being delivered

• Work closely with the Director of AP Child Care Programs and JRLV Center Director on shared responsibilities and overlapping tasks. This position does not include oversight of JRLV daily operations.

• Create productive written processes, procedures and policies for compliance purposes and in collaboration with related departments

• Create program documentation reference materials to achieve optimal workflow and structure

• Manage appeal requests and hearings for CSPP and AP Programs

QUALIFICATIONS:

• Knowledge of provider payment methodology

• Knowledge of AP Program regulations/Funding terms and conditions

• Familiarity of CSPP regulations and components

• Knowledge of child abuse reporting requirements

• Sensitivity to and understanding the diverse academic, socioeconomic, cultural, linguistic, ethnic backgrounds and disabilities of children and families

• Ability to create and maintain relationships with community social service agencies

• Proficiency in standard office software including word processing, spreadsheet, email, databases and internet

• Know-how of principles and practices of supervision and training

ABILITY TO:

• Demonstrate excellent analytical, math and computer skills

• Communicate with excellent verbal and written skills

• Exercise flexibility, maturity of judgment, and work collaboratively

• Demonstrate strong organizational and leadership skills

• Work effectively with a wide variety of individuals from diverse economic and ethnic backgrounds

• Establish and maintain cooperative, diplomatic, working relationships with co-workers, providers, and the community, to work as part of a team and collaborate with colleagues

• Maintain confidentiality of information as needed

• Attend to detail and follow directions with thoroughness and accuracy

• Work on multiple tasks, switch quickly among tasks

• Prepare clear and concise reports

• Travel to other office sites as needed. Valid driver’s license, reliable transportation and active auto insurance required.

ATTENDANCE IS AN ESSENTIAL FUNCTION OF THIS JOB.

EDUCATION and/or EXPERIENCE

Bachelor’s degree in social work, business administration, accounting or related disciplines or equivalent in education and experience

3 years of supervisory experience

AP Program and AP provider payment methodology background preferred

Pay Range:

Family Resource Center is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, race, color, ancestry, national origin, citizenship status, military or veteran status, religion, creed, disability, sex, sexual orientation, marital status, medical condition as defined by applicable law, genetic information, gender, gender identity, gender expression, pregnancy, childbirth and related medical conditions, or any other characteristic protected by applicable federal, state, or local laws and ordinances.