Quality and Compliance Supervisor

• Supervise and support Quality and Compliance team members in daily operations, workload management, and professional development
• Conduct routine coaching and performance evaluations with staff
• Support corrective action plans and development planning with staff
• Assist with onboarding and training team members
• Establish clear expectations and ensure adherence to the score card measurements
• Maintain detailed understanding of all current AFA contracts, provider manuals, policies, and applicable State and Federal regulations
• Serve as a subject matter resource regarding contract compliance, program requirements, and quality assurance processes
• Act as a liaison between Program Managers, Executive Directors, Operations teams, and other departments to resolve compliance concerns, contractual issues, audit findings, and operational risks
• Assist with the implementation and oversight of quality assurance and compliance programs, systems, and initiatives across the organization
• Coordinate and oversee internal and external audits, Requests for Information (RFI), subpoenas, surveys, and regulatory reviews
• Facilitate cross-department collaboration to compile accurate and timely audit documentation while maintaining compliance with HIPAA and contractual requirements
• Review audit findings, identify trends and risks, and provide recommendations to leadership to support quality improvement initiatives
• Monitor and oversee complaint tracking, investigations, trending analysis, and escalation processes
• Support departments in developing and implementing corrective and preventative action plans to resolve compliance and quality concerns
• Research, analyze, and communicate changes in legislation, regulations, contracts, and program requirements that may impact operations or organizational compliance
• Assist in the development, implementation, and maintenance of policies, procedures, forms, reporting tools, and internal controls to support compliance objectives
• Develop and maintain reports, metrics, dashboards, and tracking systems to measure organizational performance and compliance outcomes
• Lead or support quality improvement initiatives utilizing structured problem-solving and process improvement methodologies
• Assist with the development and delivery of staff trainings related to quality assurance, compliance requirements, audits, and contractual obligations
• Monitor completion of required trainings and compliance activities to ensure contractual and regulatory standards are met
• Communicate key risks, audit results, and compliance concerns to leadership to support informed decision-making and operational improvements
• Independently manage and prioritize multiple projects and assignments while meeting strict deadlines
• Occasionally work evenings or weekends as needed to support audits, deadlines, or high-volume demands
• Perform other work-related duties as assigned

QUALIFICATIONS

MINIMUM QUALIFICATIONS

• Bachelor’s degree in public policy, Social Sciences, Business Administration, Healthcare Administration, or related field; or equivalent combination of education and experience
• Minimum of 2 years of experience in quality assurance, compliance, auditing, healthcare administration, Medicaid programs, or related field
• Previous experience coordinating audits, compliance reviews, corrective action plans, or regulatory reporting activities
• Demonstrated leadership, supervisory, or team lead experience preferred
• Knowledge of Medicaid, State, and Federal regulations and contractual compliance requirements
• Strong project management, organizational, analytical, and problem-solving skills
• Ability to manage multiple priorities and deadlines with limited supervision
• Excellent written and verbal communication skills
• Strong attention to detail and ability to maintain confidentiality
• Experience using Microsoft Office applications including Word, Excel, Outlook, and PowerPoint
• Ability to learn and become proficient in all Acumen-specific systems and programs
• Valid driver’s license within state of residence and valid automobile insurance

PREFERRED QUALIFICATIONS

• Experience conducting Medicaid audits and regulatory reviews
• Experience with quality improvement methodologies and process improvement tools
• Knowledge of HIPAA requirements and healthcare compliance standards
• Experience analyzing data, identifying trends, and presenting findings to leadership
• Experience developing or facilitating staff training programs
• Previous experience in social services, healthcare operations, or managed care environments

COMMUNICATION SKILLS

• Excellent communication and relationship skills with all stakeholders, including clients, state entities, and colleagues
• Ability to effectively and respectfully interact with client base that has varying levels of ability, educational backgrounds, authority, and ethnicities
• Ability to maintain confidentiality