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

• Bachelors 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 drivers 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