QUALITY ASSURANCE AND COMPLIANCE MANAGER

Posted 21 Days Ago
Be an Early Applicant
St. Peters, MO, USA
In-Office
Senior level
Healthtech
The Role
Lead QA and compliance across IDD programs by developing and maintaining quality systems, managing audits and corrective actions, conducting investigations, driving performance improvement, training staff, and preparing affiliates for regulatory inspections while reporting outcomes to executive leadership.
Summary Generated by Built In
Job Posting Title

QUALITY ASSURANCE & COMPLIANCE MANAGER

Job Description

The Quality Assurance & Compliance Manager is responsible for leading quality assurance, regulatory compliance, audit preparedness, and continuous quality improvement initiatives across IDD programs and services. This position ensures organizational compliance with federal, state, licensing, accreditation, payer, and organizational standards while promoting operational excellence and high-quality service delivery.

The Quality Assurance & Compliance Manager develops, implements, monitors, and evaluates quality assurance systems, compliance programs, audit processes, corrective action plans, and performance improvement initiatives. The position collaborates with program leadership, operational teams, and external stakeholders to maintain regulatory readiness, strengthen quality outcomes, and mitigate organizational risk.

RESPONSIBILITIES OF THE JOB AND ESSENTIAL ELEMENTSQuality Assurance & Compliance Oversight
  • Develops, implements, and maintains quality assurance and compliance programs across assigned affiliates and service areas.
  • Monitors organizational compliance with federal, state, local, payer, licensing, accreditation, and contractual requirements.
  • Ensures quality management systems remain current and aligned with changing regulatory requirements.
  • Conducts ongoing evaluation of quality assurance processes and identifies opportunities for improvement.
  • Leads organizational efforts to maintain continuous survey and audit readiness.
  • Oversees performance monitoring systems and compliance tracking activities.
  • Supports affiliate leadership in achieving regulatory and quality performance goals.
  • Maintains knowledge of current regulatory requirements and industry best practices impacting IDD services.
Audit & Regulatory Management
  • Oversees internal and external audit programs.
  • Develops annual audit schedules and compliance monitoring plans.
  • Conducts quality reviews, compliance audits, and operational assessments.
  • Coordinates supplier, vendor, and contractor monitoring activities where applicable.
  • Reviews findings, identifies risks, and develops corrective action recommendations.
  • Ensures timely follow-up and resolution of compliance issues.
  • Prepares organizations, programs, and affiliates for regulatory inspections and accreditation reviews.
  • Serves as a primary quality and compliance resource during audits, investigations, and site visits.
  • Maintains documentation supporting regulatory compliance and quality assurance activities.
Quality Improvement & Performance Management
  • Develops and monitors organizational quality indicators and performance metrics.
  • Analyzes quality, compliance, and operational data to identify trends and improvement opportunities.
  • Creates and implements corrective action plans and performance improvement initiatives.
  • Supports continuous quality improvement efforts throughout assigned programs.
  • Utilizes data-driven approaches to improve service delivery, compliance performance, and operational effectiveness.
  • Monitors effectiveness of corrective actions and quality improvement initiatives.
  • Recommends strategies to strengthen organizational quality systems and reduce compliance risks.
Compliance Investigations & Risk Management
  • Investigates quality concerns, compliance issues, regulatory findings, and performance deficiencies.
  • Conducts root cause analysis related to identified risks and compliance concerns.
  • Develops recommendations and corrective action plans to address findings.
  • Provides guidance regarding risk mitigation and regulatory compliance requirements.
  • Tracks compliance concerns through resolution and ongoing monitoring.
  • Escalates significant compliance, safety, and operational concerns as appropriate.
Leadership & Staff Development
  • Provides quality assurance and compliance guidance to program leadership and operational teams.
  • Develops and delivers compliance, regulatory, and quality improvement training programs.
  • Educates staff regarding regulatory changes, compliance expectations, and quality standards.
  • Serves as a resource to leadership teams regarding compliance interpretation and best practices.
  • Promotes a culture of accountability, quality, and continuous improvement.
  • Collaborates with cross-functional teams to strengthen organizational performance and service quality.
Reporting & Executive Support
  • Prepares quality assurance and compliance reports for executive leadership.
  • Develops dashboards, scorecards, and other performance tracking tools.
  • Provides routine reporting on:
    • Audit findings
    • Compliance trends
    • Quality metrics
    • Corrective action plans
    • Regulatory performance
  • Communicates organizational risks, opportunities, and recommendations to leadership.
  • Supports strategic initiatives related to quality management and compliance oversight.
Other Responsibilities
  • Assists with policy and procedure development, review, and implementation.
  • Participates in organizational committees and leadership initiatives.
  • Supports accreditation, licensing, and certification activities.
  • Maintains confidentiality of organizational and participant information.
  • Demonstrates professionalism, sound judgment, and ethical decision-making.
  • Performs additional duties as assigned by leadership.
ADHERE TO AND FOLLOW
  • The By-Laws of the Corporation and as set forth in the Articles of Incorporation.
Job QualificationsEducation and ExperienceRequired
  • Bachelor’s Degree in Human Services, Healthcare Administration, Business Administration, Quality Management, Social Work, Psychology, Nursing, Public Health, or a related field.
  • Minimum five (5) years of experience within Intellectual and Developmental Disabilities (IDD) services.
Preferred
  • Experience leading quality assurance, compliance, licensing, accreditation, or regulatory programs.
  • Experience supporting multi-state operations.
  • Experience managing audits, inspections, licensing reviews, and quality improvement initiatives.
  • Experience with quality management systems and performance improvement methodologies.
Required Skills
  • Strong leadership and team development abilities.
  • Advanced analytical and critical-thinking skills.
  • Strong organizational and project management abilities.
  • Excellent written and verbal communication skills.
  • Ability to interpret and apply regulatory requirements.
  • Strong investigative, auditing, and reporting skills.
  • Ability to manage multiple priorities and deadlines.
  • Strong problem-solving and decision-making skills.
  • Ability to influence and collaborate across organizational levels.
  • Proficiency with Microsoft Office Suite and reporting tools.
Job CompetenciesLeadership & Team Development

Provides leadership, mentoring, coaching, and guidance while fostering accountability and continuous improvement.

Regulatory Expertise

Demonstrates comprehensive knowledge of licensing, accreditation, quality assurance, and compliance requirements impacting IDD services.

Quality Assurance Management

Develops and oversees systems that monitor, evaluate, and improve service quality and regulatory compliance.

Audit & Risk Management

Conducts audits, identifies risks, investigates concerns, and ensures corrective actions are effectively implemented.

Analytical Thinking

Evaluates complex information, identifies trends, and develops data-driven recommendations.

Communication

Communicates effectively with executive leadership, program managers, staff, external auditors, and regulatory agencies.

Continuous Improvement

Promotes operational excellence through quality improvement methodologies and performance management practices.

Problem Solving

Identifies challenges, evaluates alternatives, and develops practical solutions to improve organizational performance.

Compliance & Ethics

Maintains integrity, confidentiality, transparency, and accountability in all quality assurance activities.

Network FunctionsVehicle Requirements
  • Current driver's license with acceptable driving record.
  • Reliable transportation for travel between program locations.
  • Ability to travel throughout assigned states and service areas as required.
Equipment/MachinesEquipment Operations
  • Computer
  • Telephone
  • Cellular phone
  • Copier
  • Fax machine
  • Calculator
  • Multi-function office equipment
Computer Software Applications
  • Microsoft Outlook
  • Microsoft Word
  • Microsoft Excel
  • Microsoft PowerPoint
  • Quality Management Systems
  • Audit and Compliance Tracking Systems
  • Electronic Health Record (EHR) platforms
  • Agency-specific software applications
Physical DemandsPhysical Requirements
  • Sitting for extended periods during audits, meetings, reporting, and documentation activities.
  • Standing, walking, reaching, bending, lifting, stooping, twisting, and climbing stairs as necessary.
  • Driving between program and affiliate locations.
  • Ability to conduct facility inspections and site reviews.
Lifting Requirements
  • Ability to occasionally lift, move, or carry objects up to 50 pounds.
Working Conditions
  • Office environments.
  • Community-based program locations.
  • Residential, vocational, and day program settings.
  • Multiple affiliate locations across Missouri, South Dakota, and Florida.
  • Multi-level facilities with elevator access where available.
ACCIDENT, HEALTH HAZARD AND SECURITY KNOWLEDGE
  • Bloodborne Pathogens
  • Right-To-Know
  • HIPAA
  • Risk Management Practices
  • Fire and Safety Regulations
  • Workplace Safety Procedures
  • Regulatory Compliance Standards
General Requirements
  • Maintain and abide by OSHA requirements and guidelines.
  • Observe all Fire and Safety Policies and Procedures.
  • Observe all Fiscal, Office, Human Resources, and Personnel Policies and Procedures.
  • Observe all HIPAA Policies and maintain confidentiality.
  • Observe all Agency Policies and Procedures.
  • Attend all required trainings, leadership meetings, and professional development activities.
  • Maintain a professional demeanor and exercise sound judgment in all employment duties.
  • Support organizational quality initiatives and regulatory compliance efforts.
  • Demonstrate commitment to the mission, values, and goals of the organization.
Drug-Free Workplace Statement

Apis Services maintains a drug-free workplace. Drug and alcohol testing may be required in accordance with affiliate policies, licensing regulations, accreditation standards, contractual obligations, post-incident protocols, or reasonable suspicion procedures.

The statements contained herein are intended to describe the general nature and level of work performed by employees assigned to this position. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and qualifications required.

From time to time, employees may be assigned additional responsibilities necessary to support organizational operations, compliance initiatives, and quality improvement efforts. Appropriate training will be provided when necessary.

Schedule Flexibility

Work schedules may vary based on operational and regulatory needs. Flexibility regarding travel, meetings, audits, inspections, evenings, weekends, and work locations may be required.

The more knowledge, flexibility, and expertise an employee develops, the greater value they bring to themselves, the organization, and the continued success of Inperium, Inc. & Family of Services.

About Company

Apis Services, Inc., a wholly owned subsidiary of Inperium, Inc., provides a progressive shared-services platform supporting a constellation of affiliate organizations across behavioral health, intellectual and developmental disabilities, child welfare, education, workforce development, and human services programs.

Apis Services and its affiliates are committed to delivering high-quality, compliant, and person-centered services while advancing organizational excellence and positive outcomes for individuals served.

Apis Services and affiliates are equal opportunity employers. Employment decisions are made without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, ancestry, age, disability, genetic information, marital status, pregnancy, veteran status, or any other protected characteristic under applicable law. This commitment extends to every phase of employment including recruitment, hiring, compensation, promotion, benefits, training, and termination.

Skills Required

  • Bachelor's degree in Human Services, Healthcare Administration, Business Administration, Quality Management, Social Work, Psychology, Nursing, Public Health, or related field
  • Minimum five (5) years of experience within Intellectual and Developmental Disabilities (IDD) services
  • Proficiency with Microsoft Office Suite and reporting tools
  • Current driver's license with acceptable driving record and reliable transportation for travel between program locations
  • Ability to travel throughout assigned states and service areas as required
  • Strong leadership, team development, organizational, project management, analytical, investigative, and communication skills
  • Experience with Quality Management Systems, Audit and Compliance Tracking Systems, and Electronic Health Record (EHR) platforms
  • Experience leading quality assurance, compliance, licensing, accreditation, or regulatory programs
  • Experience supporting multi-state operations and managing audits, inspections, licensing reviews, and quality improvement initiatives
  • Ability to occasionally lift, move, or carry objects up to 50 pounds
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The Company
HQ: Pennsauken, New Jersey
69 Employees

What We Do

South Jersey Behavioral Health Resources, Inc. has been providing behavioral health services to adults, children and families for over 25 years. The services provided include, Residential, Outpatient (OP), Intensive Outpatient (IOTSS), Adult Partial Care (APC), and Homeless Services.

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