Suncoast Center, Inc. · 2 hours ago
Quality Improvement and Compliance Analyst
St. Petersburg, FL, US
Full-time
Onsite
Mid Level
3+ years expSuncoast Center, Inc. is a healthcare organization focused on mental health services, and they are seeking a Quality Improvement and Compliance Analyst. This role involves assisting in the development and maintenance of agency policies, analyzing quality audits, and supporting accreditation activities to ensure compliance with regulations and standards.
CharityHealth CareMental HealthNon ProfitWellness
Responsibilities
Assist the Chief Compliance Officer with drafting, reviewing, and maintaining agency policies, procedures, manuals, and operational guidelines to ensure alignment with federal and state regulations, HIPAA requirements, accreditation standards, and contractual obligations
Analyze quality audits, incident reports, and performance data to identify trends, recurring deficiencies, and systemic performance issues; assist in developing and monitoring Quality Improvement Plans and corrective action plans
Collect, analyze, and present data related to key performance indicators (KPIs), including quality audits, patient outcomes, client satisfaction surveys, safety incidents, and compliance metrics
Support accreditation and regulatory readiness activities, including mock audits, gap analyses, evidence tracking, and follow-up on corrective actions for CARF, state monitoring visits, and funder reviews
Assist with tracking contract deliverables, reporting deadlines, and quality requirements to support timely and accurate funder and regulatory submissions
Migrate, organize, and maintain approved compliance-related documents, policies, procedures, and accreditation evidence from the Agency Share Drive to Microsoft 365, ensuring appropriate version control, document governance, and accessibility of current documents
Serve as the senior/lead investigator supporting the Chief Compliance Officer in the review and investigation of compliance complaints, including conducting detailed reviews of electronic health record documentation (Avatar), gathering relevant data, and summarizing findings to support compliance determinations and corrective actions
Provide project management and administrative support to the Chief Compliance Officer to reduce executive-level administrative workload and support agency-wide quality and compliance initiatives
Completes clinical quality reviews to ensure adherence to quality standards
Prepares reports and communicates outcomes of quality reviews and activities
Documents and tracks internal audits and other quality assurance projects
Participates in the internal Peer Review process and analyzes summary reports to ensure programs meet standards across all quality indicators
Ensures areas noted to have an opportunity for improvement are addressed and that improvement is sustained over time
Offers quality improvement suggestions on project protocols and processes; facilitates quality improvement plan in conjunction with Manager
Generates utilization reports and demonstrates the ability to interpret and analyze data in order make quality recommendations regarding client care
Works independently in gathering information from reviews and takes the initiative to seek information from members of the treatment team when needed
Has a thorough knowledge of all Agency programs and admission criteria and is able to recommend appropriate levels of care and time frames when appropriate
Adheres strictly to rules of discretion, tact and confidentiality
Assists leadership with project management and integration
Other duties as assigned
Incident Report Tracking as required
Qualification
Required
Master's degree in Social Services
Must be able to read and comprehend written instruction
Has mental health experience in a significant administrative or clinical position
Possess excellent computer skills and experience with Excel spreadsheets
Department of Health Florida State License required
At least three years' experience in a mental healthcare environment with exposure to clinical review
Must be able to analyze complex issues and offer creative solutions
Must have strong communication skills
Strong orientation to client care in accordance with agency values
Must be 21 years of age
Negative Drug Screening prior to hire and throughout employment
Clear Criminal Background Check throughout employment with Suncoast Center and local checks prior to hire and annually along with DCF Level II prior to hire and as required by DCF
Must have valid Florida Driver's License
Motor Vehicle checks prior to hire and annually with acceptable driving record maintained throughout employment along with reliable vehicle, valid registration, and valid vehicle insurance
Must be in compliance with Florida Laws and Administrative Codes with fingerprinting and determined to be of good moral character
Requires indoor work in an office with frequent disruptions
Ability to deal with pressure of meeting deadlines, to be accurate, to manage constantly changing situations
Must be able to deal with stressful situations and handle conflict
Requires ability and flexibility to work as a team in a fast-paced environment and with all Agency personnel in an auditing/analyzing atmosphere
Must be able to maintain confidentiality as related to staff, program and agency auditing results
Must have excellent computer skills and ability to work in the Agency electronic medical record and in Microsoft Word
Must be able to create and work in Excel, creating and updating spreadsheets in order to enter auditing results and summary reports to present to management and external organizations
Company
Suncoast Center, Inc.
Suncoast Center has been serving the residents of Pinellas County since 1944.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Jean D. Pierre
CEO
Company data provided by crunchbase