Director of Quality and Compliance jobs in United States
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Mains'l Services · 9 hours ago

Director of Quality and Compliance

Mains’l Services is seeking a Director of Quality and Compliance to join their team. This role will oversee compliance for the organization’s multi-state services, ensuring adherence to regulations governing Long Term Services and Supports and Home and Community Based Services programs, while also providing leadership and direction to team members.

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Responsibilities

Develop, implement, and manage a comprehensive compliance program specific to state service requirements for all Mains’l service offerings
Develop, update, implement, and enforce all company policies and procedures assuring proper record keeping and documentation requirements are met
Integrate compliance, risk management, and quality improvement processes across all California, Minnesota, and Fiscal Employer Agent (FEA) operations
Conduct and coordinate audits and risk assessments per the Mains’l audit plan, providing corrective actions and recommendations for improvement
Prepare quarterly and annual compliance reports for senior and executive leadership
Identify systemic issues and lead corrective action plans in collaboration with team members responsible
Oversee internal investigations of potential compliance violations involving services contractual and licensures obligations, state and federal regulations and incidents including those related to fraud, waste, or abuse
Oversee implementation of any corrective action plans resulting from external reviews or audits
Provide compliance guidance during program expansion, contract renewal, or new service implementation in either state

Qualification

Compliance program managementRegulatory affairsAudit coordinationHealthcare administrationRisk managementQuality improvementMedicaid waiver programsMicrosoft Office SuiteWritten communicationVerbal communication

Required

Bachelor's degree in Healthcare administration, public policy, human services, business administration, or a related field required
7 years experience in compliance, regulatory affairs, or fiscal oversight within human services, healthcare, or government-funded programs
Proficiency in Microsoft Office Suite
Deep understanding of federal and state regulations governing Medicaid Waiver programs and self-directed services
Exceptional written and verbal communication skills, with the ability to explain complex regulations clearly
Experience in conducting audits including summarizing findings, making recommendations, and developing continuous improvement activities
Experience interpreting and applying regulatory statues, contracts, provider licensing requirements, and technical advisories
General understanding of technical compliance and industry-specific terminology and legislation

Preferred

Master's degree preferred
Direct experience preferred with CA DDS service system and Regional Center vendorization
Direct experience preferred with MN DHS licensing and 245D HCBS programs
Direct experience preferred with Fiscal Employer Agent (FEA) operations under Internal Revenue Service, Section 3504
Direct experience preferred with Medicaid waiver programs and CMS self-directed service requirements

Benefits

Paid (on-the-job) training
Education Assistance – up to $2,000 per year
401(k) and matching
Sick time
Paid Time Off
Health Insurance – including dental and vision
Life Insurance
Health Savings Account
Opportunities for growth and advancement

Company

Mains'l Services

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Mains'l Services supports specially challenged people by rendering financial management, mental and behavioral health services.

Funding

Current Stage
Late Stage

Leadership Team

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Lisa Zaspel
Chief Operating Officer
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Company data provided by crunchbase