Director of Compliance, Quality - Lawrence

AgeSpan · About Us: Since 1974 our agency has strived towards supporting an individual's desire to make their own decisions, secure their independence and remain living independently in the community. · We are proud of our employees who make this possible every day. Our agency is ...

Job description

AgeSpan

About Us:

Since 1974 our agency has strived towards supporting an individual's desire to make their own decisions, secure their independence and remain living independently in the community.

We are proud of our employees who make this possible every day. Our agency is a thought-leader, a nationally known generator of new ideas, because it welcomes creativity, your ideas. It is an outstanding place to work stimulating, friendly, collaborative. We offer competitive salaries, generous vacation time, and an excellent work/life balance. We value diversity and encourage career growth. If you have a passion for improving the lives of the elderly community and enjoy working in a diverse team driven by its mission, you've found the right place

At AgeSpan, you'll find a work environment that combines:

A refreshing culture that is supportive, collaborative, and encouraging of diverse perspectives and backgrounds.

A focus on innovation with a team recognized for developing and implementing innovative programs and novel solutions.

Encouragement of your development through opportunities to get involved, use your voice, and gain new knowledge and skills.

A satisfying balance between your work and personal life, including a flexible workplace, generous paid time off, and wellness programs.

Depending on your role and your hours, we offer:

Flexible schedule and hybrid work opportunities

Competitive salaries

Healthcare (medical, dental)

403b Retirement Plan with agency match

20 Vacation Days, 12 Sick Days, and 12 Paid Holidays

Social Work Licensing Program

License Renewal Paid by agency for RN's and Social Workers

Mileage reimbursement

Free parking

Employee Referral Bonuses

Employee Assistance Program

Tuition Remission Program

Commitment to promoting within

Position Summary:

Reporting to the COO and serving as a member of the Senior Management Team, provide direction, oversight and leadership for the agency's regulatory compliance programs, quality management systems including NCQA Accreditation, and contracting processes.

This role ensures that all contractual and administrative operations meet legal, accreditation, and organizational standards, while supporting the mission, values, and strategic objectives of the agency.

Position Responsibilities:
Compliance Management

Develop, implement, and manage an effective agency compliance program consistent with federal, state, and local regulations, including HIPAA, PI, CMS, OIG and other applicable standards.

Manage the development, review, and maintenance of organizational compliance policies and procedures to ensure alignment with current laws, regulations, and accreditation standards.

Develop and maintain a centralized system for tracking policy updates, version control, and staff acknowledgement of revised policies.

Coordinate periodic review and approval processes with senior directors and executive management.

Monitor regulatory and policy changes (federal, state, and local) and proactively assess their impact on organizational policies and operations.

Conduct ongoing risk assessments to identify potential areas of compliance vulnerability and implement mitigation strategies, corrective actions, and continuous monitoring mechanisms.

Establish and oversee systems for reporting, investigating, and resolving compliance concerns.

In collaboration with relevant departments, develop, conduct, and ensure completion of mandatory trainings for employees, interns, and volunteers on such topics as Whistleblower, Fire Safety, Human Service Worker Safety Training, Fraud, Waste & Abuse, Data Privacy, HIPAA and confidentiality, Conflict of Interest, and Code of Conduct.

Collaborate with other members of senior management to ensure an integrated approach to compliance, risk management, and internal controls.

Support executive leadership around compliance issues by contributing information and resources to agency committees and Board of Directors initiatives.

Quality Management

Lead the agency's quality assurance and performance improvement initiatives across all departments.

Develop and monitor quality metrics, dashboards, and benchmarking tools to ensure alignment with clinical, regulatory, and accreditation standards

Collaborate with clinical and operational leaders to identify opportunities for improvement and ensure implementation of identified best practices.

Support NCQA accreditation activities and continuous readiness for surveys.

Oversight of the Executive Office of Aging and Independence (AGE) - Designation Review process.

Centralize and oversee consumer satisfaction survey processes to ensure consistent data collection, analysis, and integration of consumer feedback into quality improvement initiatives.

Oversee the implementation and monitoring of the agency's Data Access/Anti-Browsing policy to prevent unauthorized access to protected health information.

Contract Management

Oversee the management of contracts, MOU's and letters of agreement.

Collaborate in all phases of contract development, execution, and monitoring for compliance with funding, legal, and regulatory requirements.

Provide guidance on contract terms, risk mitigation, and performance expectations.

Ensure contract deliverables, reporting, and billing align with grant and payer requirements.

Review all agency and programmatic agreements to ensure agency term requirements, compliance, and tracking capability, working with outside counsel and executive team members.

Collaborate with executive management on the development, implementation, and ongoing management of an agency-wide contract management system to ensure effective control, visibility, and compliance across all agreements.

Assist the CEO, CFO, Chief Operating Officer and Chief Strategy Officer in areas of new business ventures by providing information and resources to evaluate opportunities and negotiate contracts and business associate agreements.

Oversight of the Home Care Provider RFP process, collaborating with business owners in agency. Provides guidelines, policy, and templates.

Oversight and management of AgeSpan website Provider Contract page

Attend bi-monthly internal Integrated Operations Committee meetings

Oversee and supervise contract management staff and operations.

Supervision & Leadership

Promote an organizational culture of ethics, accountability, and transparency through staff education and proactive risk management.

As a member of the senior management team, provide strategic input and data-informed insights to executive leadership on organizational risk, performance, and compliance trends.

Foster interdepartmental collaboration to enhance efficiency, compliance, and quality service to consumers and external partners.

Provide coaching, mentorship, and training to staff to enhance compliance, knowledge and skills.

All other duties as assigned.


Qualifications:

Minimum of 8-10 years of progressive leadership experience in healthcare compliance, contracting, and/or quality management, preferably in a non-profit or community health environment.

Experience with nonprofit corporate law, HIPAA, and experience with reviewing and negotiating contracts preferred.

Bachelor's degree in business administration, Public Administration, Finance or the like required. Masters degree preferred.

Strong leadership skills with demonstrated ability to think independently and lead interdisciplinary teams.

Excellent written and verbal communication skills, with the ability to translate complex concepts into accessible language.

Excellent analytical, negotiation, management, and research skills.

Ability to thrive in a fast-paced, dynamic, and innovative environment and effectively manage competing priorities.

Ability to maintain confidentiality and exercise discretion in sensitive matters.

Strong commitment to the mission and values of the organization. Ability to understand and adapt to AgeSpan's organizational culture.

Proficiency in MS Word, Excel, Outlook and PowerPoint.

At AgeSpan, we carefully consider a wide range of factors when determining rate of pay. Actual rate of pay depends on factors including but not limited to internal equity, experience, and qualifications. The pay range for this position is $123,000 - $133,000/year.

Hours per week : 37.5

Our Commitment to Diversity and Inclusion

AgeSpan is strongly committed to fostering a professional environment that recognizes, respects, and encourages the unique contributions of a broad spectrum of qualified employees.

It is important that our employees reflect the diverse communities we serve.

We maintain a work atmosphere that allows people of varied backgrounds to grow professionally and contribute to our mission by promoting diversity, equity, inclusion, and work-life balance.