Quality Manager

Key Responsibilities

• Work closely with the Operations Manager to develop and maintain a data driven compliance program that ensures adherence to state licensing regulations, Medicaid requirements, Fraud Waste and Abuse requirements and other regulatory/payor source requirements.
• Establish a system for ongoing monitoring and results reporting of compliance and quality metrics.
• Perform regular compliance audits to identify risks and set priorities for correction.
• Develop and implement staff education regarding regulatory and quality requirements.
• Remain up to date on regulations related to OMHSAS licensed clinics and state Medicaid requirements. Recommend updates to policies/procedures and workflows accordingly.
• Communicate audit information to Clinic Director and other organizational leadership.
• Aid in the development and implementation of corrective action plans.
• Cookpilot response to internal departments and oversight bodies for patient complaints.
• Ensure reporting requirements to OMHSAS and Medicaid MCOs are met (ie: critical incident reporting).

Qualifications

• Bachelor's degree in mental health related field or Healthcare Administration
• 3+ years of experience in Healthcare Compliance, Management, or Operations
• Thorough knowledge of PA psychiatric outpatient regulations, behavioral health Medicaid requirements, and best practices
• Possess collaborative skills and be open to suggestions from team members
• Superior attention to detail in order to identify and correct non-compliant practices
• A clear understanding of the financial aspects of the healthcare industry, including Fraud, Waste, and Abuse

Benefits

Enjoy competitive compensation and a wide range of benefits, including medical, dental, vision, low-cost virtual care, dependent and domestic partner coverage, 401K, and more, designed to support your well-being and financial security.

About the Role

Immerse yourself in a community united by a deep commitment to enhance mental health and revolutionize patient care. Embrace a journey of continuous learning, guided by seasoned professionals, fostering your career growth in a nurturing environment.

Pay

The annual compensation for this role is $60,000 - $65,000. Actual compensation may vary based on licensure, experience, market-driven enhancements, and incentive opportunities available for this role.

Schedule

Details on the schedule will be provided upon employment.